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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $724.44 | Professional | None | $562.34 | $562.34 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,995.26 | Professional | None | $954.99 | $1,548.82 | $1,995.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $3,235.94 | Facility | None | $1,995.26 | $2,137.96 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,513.56 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,071.52 | $2,137.96 | $2,398.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,884.03 | Professional | None | $1,318.26 | $1,737.80 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,174.90 | $1,174.90 | $1,479.11 |
United Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,698.24 | Professional | None | $691.83 | $870.96 | $1,698.24 |
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 $281.84 Median $281.84 Typical High $363.08 | Professional | 52 · Reduced service | $281.84 | $281.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | 53 · Discontinued | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $72.44 |
Where Utah sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 27th of 51
$1,175
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.