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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,698.24 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $2,818.38 Median $4,570.88 Typical High $5,888.44 | Professional | None | $2,818.38 | $4,570.88 | $5,888.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $6,309.57 Typical High $9,549.93 | Facility | None | $6,025.60 | $6,309.57 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,570.88 | Professional | None | $4,466.84 | $4,466.84 | $4,570.88 |
Select Health Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Select Health Setting Professional Modifier None Typical Low $3,162.28 Median $6,456.54 Typical High $6,456.54 | Professional | None | $3,162.28 | $6,456.54 | $6,456.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,890.45 Median $5,128.61 Typical High $7,762.47 | Professional | None | $3,890.45 | $5,128.61 | $7,762.47 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $5,011.87 | Professional | None | $2,041.74 | $2,630.27 | $5,011.87 |
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 $831.76 Median $831.76 Typical High $1,122.02 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | 53 · Discontinued | $338.84 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $223.87 |
Where Utah sits
The same service costs 2.9 times more in Hawaii than in Pennsylvania. 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· 21st of 51
$3,715
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.