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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $35.48 Typical High $35.48 | Professional | None | $30.90 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $46.77 | Facility | None | $36.31 | $40.74 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | None | $30.90 | $30.90 | $39.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $89.13 | Facility | None | $50.12 | $63.10 | $89.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | None | $24.55 | $31.62 | $31.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $45.71 | Professional | None | $27.54 | $33.88 | $45.71 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $15.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.68 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.55 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.09 | $3.55 | $3.55 |
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· 40th of 51
$30.90
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.