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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Molina Setting Professional Modifier None Typical Low $6,165.95 Median $8,709.64 Typical High $10,964.78 | Professional | None | $6,165.95 | $8,709.64 | $10,964.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $562.34 | Facility | None | $371.54 | $416.87 | $562.34 |
Regence BlueShield Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Select Health Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
Select Health Setting Professional Modifier None Typical Low $6,456.54 Median $9,549.93 Typical High $9,549.93 | Professional | None | $6,456.54 | $9,549.93 | $9,549.93 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $7,762.47 | Professional | None | $117.49 | $144.54 | $7,762.47 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | None | $8,709.64 | $8,709.64 | $8,709.64 |
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 56 · Pre-op care only | $870.96 | $870.96 | $870.96 |
Where Utah sits
The same service costs 26.3 times more in Alaska than in Montana. 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· 8th of 51
$8,913
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.