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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
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 $2,570.40 | Professional | None | $2,398.83 | $2,398.83 | $2,570.40 |
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 $3,715.35 | Professional | None | $1,737.80 | $3,467.37 | $3,715.35 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $4,466.84 | Professional | None | $2,137.96 | $2,754.23 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,698.24 | $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 $549.54 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $109.65 |
Where Utah sits
The same service costs 2.2 times more in Arkansas 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· 25th 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.