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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,000.00 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $1,548.82 Median $2,454.71 Typical High $3,162.28 | Professional | None | $1,548.82 | $2,454.71 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $5,128.61 | Facility | None | $3,235.94 | $3,388.44 | $5,128.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,398.83 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $3,467.37 Typical High $4,265.80 | Professional | None | $1,737.80 | $3,467.37 | $4,265.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,754.23 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,187.76 | Facility | None | $2,089.30 | $2,089.30 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,548.82 | $2,691.53 |
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 $501.19 Median $501.19 Typical High $676.08 | Professional | 52 · Reduced service | $501.19 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | 53 · Discontinued | $199.53 | $199.53 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $199.53 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $134.90 |
Where Utah sits
The same service costs 3.4 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· 18th of 51
$2,399
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.