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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $47.86 | Professional | None | $33.88 | $33.88 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | None | $60.26 | $75.86 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $100.00 Median $104.71 Typical High $158.49 | Facility | None | $100.00 | $104.71 | $158.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Professional | None | $74.13 | $74.13 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $107.15 Typical High $141.25 | Professional | None | $53.70 | $107.15 | $141.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $151.36 | Professional | None | $66.07 | $85.11 | $151.36 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Facility | None | $61.66 | $61.66 | $69.18 |
United Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $83.18 | Professional | None | $40.74 | $52.48 | $83.18 |
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 $16.98 Median $16.98 Typical High $23.99 | Professional | 52 · Reduced service | $16.98 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $9.55 | Professional | 53 · Discontinued | $6.76 | $6.76 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $7.08 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $4.79 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $4.79 |
Where Utah sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 32nd of 51
$63.10
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.