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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Professional | None | $154.88 | $154.88 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Professional | None | $269.15 | $269.15 | $363.08 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $354.81 Typical High $446.68 | Professional | None | $218.78 | $354.81 | $446.68 |
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $724.44 | Facility | None | $457.09 | $478.63 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $398.11 | Professional | None | $346.74 | $346.74 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $489.78 Typical High $562.34 | Professional | None | $245.47 | $489.78 | $562.34 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $676.08 | Professional | None | $302.00 | $389.05 | $676.08 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Facility | None | $239.88 | $239.88 | $323.59 |
United Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $389.05 | Professional | None | $186.21 | $239.88 | $389.05 |
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 $77.62 Median $77.62 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $77.62 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $20.89 |
Where Utah sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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· 25th of 51
$347
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.