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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,691.53 | Professional | None | $1,995.26 | $1,995.26 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Molina Setting Professional Modifier None Typical Low $3,235.94 Median $5,248.07 Typical High $6,456.54 | Professional | None | $3,235.94 | $5,248.07 | $6,456.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,760.83 Median $7,079.46 Typical High $10,715.19 | Facility | None | $6,760.83 | $7,079.46 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,888.44 | Professional | None | $5,128.61 | $5,128.61 | $5,888.44 |
Select Health Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Select Health Setting Professional Modifier None Typical Low $3,630.78 Median $7,244.36 Typical High $8,317.64 | Professional | None | $3,630.78 | $7,244.36 | $8,317.64 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $4,466.84 Median $5,888.44 Typical High $10,000.00 | Professional | None | $4,466.84 | $5,888.44 | $10,000.00 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,370.32 | Facility | None | $4,073.80 | $4,073.80 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $5,754.40 | Professional | None | $2,398.83 | $3,090.30 | $5,754.40 |
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 $1,000.00 Median $1,000.00 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | 53 · Discontinued | $398.11 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $269.15 |
Where Utah sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 18th of 51
$4,898
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.