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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,778.28 | $2,290.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,715.35 | Facility | None | $2,344.23 | $2,454.71 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,737.80 | $1,737.80 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,258.93 | $2,511.89 | $2,630.27 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,548.82 | $1,995.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,513.56 | Facility | None | $1,348.96 | $1,348.96 | $1,513.56 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,949.84 | Professional | None | $891.25 | $1,148.15 | $1,949.84 |
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 3.2 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· 30th of 51
$1,479
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.