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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None | $154.88 | $154.88 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $501.19 | Professional | None | $245.47 | $398.11 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $812.83 | Facility | None | $512.86 | $537.03 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | None | $389.05 | $389.05 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $616.60 | Professional | None | $275.42 | $549.54 | $616.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $741.31 | Professional | None | $338.84 | $436.52 | $741.31 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
United Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $436.52 | Professional | None | $186.21 | $239.88 | $436.52 |
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 $75.86 Median $75.86 Typical High $97.72 | Professional | 52 · Reduced service | $75.86 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $29.51 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $19.50 |
Where Utah sits
The same service costs 4.2 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· 34th of 51
$295
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.