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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | None | $34.67 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $34.67 Typical High $39.81 | Facility | None | $30.20 | $34.67 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $44.67 | Professional | None | $26.30 | $28.18 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $109.65 | Facility | None | $47.86 | $66.07 | $109.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $144.54 | Professional | None | $27.54 | $35.48 | $144.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $104.71 | Professional | None | $26.92 | $37.15 | $104.71 |
United Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
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 $17.38 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $5.13 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.98 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.47 | $3.98 | $3.98 |
Where Utah sits
The same service costs 5.4 times more in Wyoming than in Arizona. 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
$33.88
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.