How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,202.26 | $1,202.26 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,202.26 | $1,905.46 | $2,454.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $2,630.27 Typical High $3,981.07 | Facility | None | $2,511.89 | $2,630.27 | $3,981.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,862.09 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $3,090.30 | Professional | None | $1,348.96 | $2,691.53 | $3,090.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,137.96 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,479.11 | $1,513.56 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,089.30 | Professional | None | $954.99 | $1,202.26 | $2,089.30 |
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 $389.05 Median $389.05 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $104.71 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $104.71 |
Where Utah sits
The same service costs 2.7 times more in Hawaii than in Delaware. 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· 24th of 51
$1,622
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.