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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None | $147.91 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $446.68 | Professional | None | $218.78 | $346.74 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $724.44 | Facility | None | $457.09 | $478.63 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $436.52 | Professional | None | $338.84 | $338.84 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $630.96 | Professional | None | $245.47 | $489.78 | $630.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $691.83 | Professional | None | $302.00 | $389.05 | $691.83 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Facility | None | $234.42 | $234.42 | $309.03 |
United Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $389.05 | Professional | None | $177.83 | $229.09 | $389.05 |
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 $74.13 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $19.05 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $19.05 |
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· 20th of 51
$339
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.