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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $602.56 | Professional | None | $288.40 | $467.74 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $602.56 Median $645.65 Typical High $977.24 | Facility | None | $602.56 | $645.65 | $977.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Professional | None | $457.09 | $457.09 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $645.65 Typical High $758.58 | Professional | None | $323.59 | $645.65 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $912.01 | Professional | None | $398.11 | $524.81 | $912.01 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Facility | None | $426.58 | $426.58 | $467.74 |
United Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $512.86 | Professional | None | $251.19 | $316.23 | $512.86 |
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 $102.33 Median $102.33 Typical High $138.04 | Professional | 52 · Reduced service | $102.33 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $41.69 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $27.54 |
Where Utah sits
The same service costs 3.9 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· 28th of 51
$417
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.