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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $2,951.21 | Professional | None | $1,412.54 | $2,290.87 | $2,951.21 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,162.28 Typical High $4,786.30 | Facility | None | $3,019.95 | $3,162.28 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,754.23 | Professional | None | $2,238.72 | $2,238.72 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $3,981.07 | Professional | None | $1,584.89 | $3,235.94 | $3,981.07 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,570.40 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,445.44 | $2,511.89 |
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 $467.74 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $186.21 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $114.82 |
Where Utah sits
The same service costs 3.1 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· 26th of 51
$1,862
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.