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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | None | $17.38 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $25.70 | Facility | None | $19.95 | $22.39 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Molina Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | None | $16.98 | $16.98 | $21.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $45.71 | Facility | None | $25.70 | $33.88 | $45.71 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Select Health Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $17.78 | Professional | None | $13.80 | $17.78 | $17.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $24.55 | Professional | None | $13.18 | $17.38 | $24.55 |
United Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
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 $8.71 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $8.71 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.47 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.02 Typical High $3.02 | Professional | 55 · Aftercare only | $2.63 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.00 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.74 | $2.00 | $2.00 |
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· 49th of 51
$17.38
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.