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 $467.74 | Professional | None | $331.13 | $331.13 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Molina Setting Professional Modifier None Typical Low $467.74 Median $758.58 Typical High $977.24 | Professional | None | $467.74 | $758.58 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,584.89 | Facility | None | $977.24 | $1,047.13 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $851.14 | Professional | None | $741.31 | $741.31 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $1,230.27 | Professional | None | $524.81 | $1,047.13 | $1,230.27 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,479.11 | Professional | None | $645.65 | $851.14 | $1,479.11 |
United Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
United Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $831.76 | Professional | None | $407.38 | $512.86 | $831.76 |
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 $234.42 | Professional | 52 · Reduced service | $165.96 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $46.77 |
Where Utah sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 21st of 51
$741
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.