How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $199.53 | Professional | None | $162.18 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $257.04 | Facility | None | $199.53 | $223.87 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $218.78 | Professional | None | $162.18 | $169.82 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $446.68 | Facility | None | $263.03 | $331.13 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $338.84 | Professional | None | $128.82 | $165.96 | $338.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $1,288.25 | Professional | None | $147.91 | $223.87 | $1,288.25 |
United Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
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 $81.28 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $81.28 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $32.36 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | 55 · Aftercare only | $24.55 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $16.22 | $18.62 | $18.62 |
Where Utah sits
The same service costs 1.9 times more in Wyoming than in Nevada. 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· 20th of 51
$178
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.