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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | None | $43.65 | $52.48 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $109.65 | Facility | None | $69.18 | $72.44 | $109.65 |
Regence BlueShield Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | None | $51.29 | $51.29 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $77.62 | Professional | None | $37.15 | $74.13 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $93.33 | Professional | None | $45.71 | $58.88 | $93.33 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Facility | None | $36.31 | $36.31 | $37.15 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $57.54 | Professional | None | $23.99 | $30.90 | $57.54 |
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 $9.77 Median $9.77 Typical High $12.02 | Professional | 52 · Reduced service | $9.77 | $9.77 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $2.95 Typical High $3.63 | Professional | 55 · Aftercare only | $2.95 | $2.95 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.00 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.00 | $2.00 | $2.40 |
Where Utah sits
The same service costs 2.5 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· 23rd of 51
$44.67
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.