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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | None | $89.13 | $89.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $275.42 | Professional | None | $134.90 | $213.80 | $275.42 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $295.12 Typical High $446.68 | Facility | None | $281.84 | $295.12 | $446.68 |
Regence BlueShield Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $302.00 | Professional | None | $151.36 | $288.40 | $302.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $346.74 | Professional | None | $186.21 | $239.88 | $346.74 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $234.42 | Professional | None | $109.65 | $138.04 | $234.42 |
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 $44.67 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | 53 · Discontinued | $17.78 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $12.02 |
Where Utah sits
The same service costs 3.5 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· 29th of 51
$182
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.