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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $229.09 | Professional | None | $109.65 | $109.65 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $346.74 | Professional | None | $34.67 | $60.26 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $575.44 | Facility | None | $363.08 | $380.19 | $575.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $380.19 Typical High $389.05 | Professional | None | $194.98 | $380.19 | $389.05 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $457.09 | Professional | None | $239.88 | $316.23 | $457.09 |
United Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $309.03 | Professional | None | $131.83 | $169.82 | $309.03 |
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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $12.59 |
Where Utah sits
The same service costs 2.4 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· 50th of 51
$170
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.