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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,623.41 | Professional | None | $2,754.23 | $4,466.84 | $5,623.41 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $6,025.60 Typical High $9,120.11 | Facility | None | $5,754.40 | $6,025.60 | $9,120.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None | $4,365.16 | $4,365.16 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $3,090.30 Median $5,888.44 Typical High $6,165.95 | Professional | None | $3,090.30 | $5,888.44 | $6,165.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $6,918.31 | Professional | None | $3,801.89 | $4,897.79 | $6,918.31 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,890.45 | Facility | None | $3,019.95 | $3,019.95 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,778.28 | $2,290.87 | $4,466.84 |
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 $741.31 Median $741.31 Typical High $977.24 | Professional | 52 · Reduced service | $741.31 | $741.31 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | 53 · Discontinued | $295.12 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $199.53 |
Where Utah sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 20th of 51
$3,548
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.