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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $208.93 Typical High $263.03 | Professional | None | $128.82 | $208.93 | $263.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $281.84 Typical High $426.58 | Facility | None | $269.15 | $281.84 | $426.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | None | $204.17 | $204.17 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $380.19 | Professional | None | $144.54 | $288.40 | $380.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $407.38 | Professional | None | $177.83 | $229.09 | $407.38 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Facility | None | $186.21 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $229.09 | Professional | None | $109.65 | $138.04 | $229.09 |
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 $44.67 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $12.02 |
Where Utah sits
The same service costs 4.0 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· 38th of 51
$174
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.