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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,584.89 | $2,511.89 | $3,235.94 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $5,248.07 | Facility | None | $3,311.31 | $3,467.37 | $5,248.07 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $3,388.44 Typical High $3,548.13 | Professional | None | $1,778.28 | $3,388.44 | $3,548.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,187.76 Median $2,818.38 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,818.38 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,230.27 | $1,230.27 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,412.54 | $2,754.23 |
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 $457.09 Median $457.09 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $457.09 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $123.03 |
Where Utah sits
The same service costs 3.2 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· 23rd of 51
$1,905
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.