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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,137.96 | Facility | None | $1,513.56 | $1,737.80 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,258.93 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,981.07 | Facility | None | $2,344.23 | $2,818.38 | $3,981.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,288.25 | $1,479.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,862.09 | Professional | None | $1,122.02 | $1,348.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $630.96 Median $724.44 Typical High $724.44 | Professional | 52 · Reduced service | $630.96 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $190.55 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $125.89 | $144.54 | $144.54 |
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· 32nd of 51
$1,259
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.