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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,884.03 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,311.31 | $3,715.35 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $1,995.26 Median $2,884.03 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,884.03 | $3,630.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,495.41 Typical High $7,585.78 | Facility | None | $4,365.16 | $5,495.41 | $7,585.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,951.21 | $2,951.21 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,454.71 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,454.71 | $2,951.21 | $4,073.80 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
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 $1,445.44 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,445.44 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $575.44 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $288.40 | $331.13 | $331.13 |
Where Utah sits
Rates are fairly even across states for this service. 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· 51st of 51
$2,884
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.