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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | None | $741.31 | $741.31 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $1,023.29 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,659.59 | $2,137.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $3,467.37 | Facility | None | $2,187.76 | $2,290.87 | $3,467.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,621.81 | $1,621.81 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $3,019.95 | Professional | None | $1,174.90 | $2,344.23 | $3,019.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,412.54 Median $1,862.09 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,862.09 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,202.26 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,819.70 | Professional | None | $891.25 | $1,148.15 | $1,819.70 |
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 $363.08 Median $363.08 Typical High $489.78 | Professional | 52 · Reduced service | $363.08 | $363.08 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | 53 · Discontinued | $147.91 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $97.72 |
Where Utah sits
The same service costs 3.5 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· 25th of 51
$1,622
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.