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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | None | $275.42 | $275.42 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
Molina Setting Professional Modifier None Typical Low $389.05 Median $630.96 Typical High $812.83 | Professional | None | $389.05 | $630.96 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $1,318.26 | Facility | None | $812.83 | $870.96 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Professional | None | $616.60 | $616.60 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $870.96 Typical High $912.01 | Professional | None | $436.52 | $870.96 | $912.01 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,096.48 | Professional | None | $537.03 | $707.95 | $1,096.48 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Facility | None | $501.19 | $501.19 | $524.81 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $691.83 | Professional | None | $338.84 | $426.58 | $691.83 |
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 $138.04 Median $138.04 Typical High $173.78 | Professional | 52 · Reduced service | $138.04 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 53 · Discontinued | $54.95 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $34.67 |
Where Utah sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 28th of 51
$589
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.