How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $44.67 | Professional | None | $38.90 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $64.57 | Facility | None | $46.77 | $52.48 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $51.29 | Professional | None | $38.02 | $39.81 | $51.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $52.48 | Professional | None | $30.20 | $39.81 | $52.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $47.86 | Professional | None | $35.48 | $40.74 | $47.86 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $5.75 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.89 | $4.47 | $4.47 |
Where Utah sits
The same service costs 1.6 times more in Alaska than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Utah· 23rd of 51
$39.81
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.