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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $28.84 | Professional | None | $16.22 | $16.22 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.13 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.91 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $60.26 | Professional | None | $34.67 | $52.48 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $87.10 | Facility | None | $54.95 | $57.54 | $87.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $56.23 Typical High $58.88 | Professional | None | $29.51 | $56.23 | $58.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $67.61 | Professional | None | $36.31 | $47.86 | $67.61 |
United Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $45.71 | Professional | None | $19.95 | $25.12 | $45.71 |
Where Utah sits
The same service costs 2.6 times more in Montana than in Kansas. 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· 42nd of 51
$29.51
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.