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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $177.83 | Professional | None | $85.11 | $85.11 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $269.15 | Professional | None | $131.83 | $213.80 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $436.52 | Facility | None | $275.42 | $288.40 | $436.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | None | $208.93 | $208.93 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $316.23 | Professional | None | $147.91 | $295.12 | $316.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $380.19 | Professional | None | $181.97 | $239.88 | $380.19 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
United Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $234.42 | Professional | None | $104.71 | $131.83 | $234.42 |
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 $42.66 Median $42.66 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $16.98 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $10.96 |
Where Utah sits
The same service costs 3.5 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· 27th of 51
$178
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.