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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None | $794.33 | $794.33 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,819.70 | $2,344.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,801.89 | Facility | None | $2,398.83 | $2,511.89 | $3,801.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Professional | None | $1,778.28 | $1,778.28 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $2,951.21 | Professional | None | $1,288.25 | $2,570.40 | $2,951.21 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,584.89 | $2,041.74 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $1,995.26 | Professional | None | $954.99 | $1,230.27 | $1,995.26 |
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 $398.11 Median $398.11 Typical High $524.81 | Professional | 52 · Reduced service | $398.11 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | 53 · Discontinued | $158.49 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $104.71 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $104.71 |
Where Utah sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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· 24th of 51
$1,778
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.