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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $660.69 | Professional | None | $331.13 | $331.13 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $1,071.52 | Professional | None | $524.81 | $851.14 | $1,071.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,737.80 | Facility | None | $1,096.48 | $1,148.15 | $1,737.80 |
Regence BlueShield Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $1,122.02 Typical High $1,174.90 | Professional | None | $588.84 | $1,122.02 | $1,174.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,318.26 | Professional | None | $724.44 | $954.99 | $1,318.26 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $691.83 | Facility | None | $478.63 | $478.63 | $691.83 |
United Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $933.25 | Professional | None | $398.11 | $512.86 | $933.25 |
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 $165.96 Median $165.96 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $165.96 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $45.71 |
Where Utah sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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
$708
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.