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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,174.90 | $1,174.90 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $3,801.89 | Professional | None | $1,862.09 | $3,019.95 | $3,801.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $6,165.95 | Facility | None | $3,890.45 | $4,073.80 | $6,165.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Select Health Setting Professional Modifier None Typical Low $2,089.30 Median $4,073.80 Typical High $4,168.69 | Professional | None | $2,089.30 | $4,073.80 | $4,168.69 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $4,897.79 | Professional | None | $2,570.40 | $3,311.31 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,412.54 | $1,819.70 | $3,311.31 |
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 $588.84 Median $588.84 Typical High $645.65 | Professional | 52 · Reduced service | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 53 · Discontinued | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $128.82 |
Where Utah sits
The same service costs 2.5 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· 35th of 51
$2,291
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.