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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | None | $70.79 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $112.20 | Facility | None | $85.11 | $97.72 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $95.50 | Professional | None | $70.79 | $74.13 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $218.78 | Facility | None | $125.89 | $162.18 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $120.23 | Professional | None | $53.70 | $70.79 | $120.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $114.82 | Professional | None | $63.10 | $85.11 | $114.82 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $35.48 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $35.48 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $14.13 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 55 · Aftercare only | $10.72 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.13 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.08 | $8.13 | $8.13 |
Where Utah sits
The same service costs 1.5 times more in Wyoming than in Florida. 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· 32nd of 51
$74.13
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.