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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,445.44 | $1,445.44 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $2,691.53 Median $4,365.16 Typical High $5,495.41 | Professional | None | $2,691.53 | $4,365.16 | $5,495.41 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $8,912.51 | Facility | None | $5,623.41 | $5,888.44 | $8,912.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Select Health Setting Professional Modifier None Typical Low $3,019.95 Median $5,495.41 Typical High $6,025.60 | Professional | None | $3,019.95 | $5,495.41 | $6,025.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $6,760.83 | Professional | None | $3,715.35 | $4,897.79 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,454.71 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $4,365.16 | Professional | None | $1,737.80 | $2,238.72 | $4,365.16 |
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 $724.44 Median $724.44 Typical High $812.83 | Professional | 52 · Reduced service | $724.44 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | 53 · Discontinued | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $165.96 |
Where Utah sits
The same service costs 2.8 times more in Wyoming 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· 23rd of 51
$3,090
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.