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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $10.72 | Professional | None | $7.08 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $3.55 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.41 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.37 Median $8.13 Typical High $8.13 | Professional | 54 · Surgery only | $5.37 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.62 Typical High $1.62 | Professional | 55 · Aftercare only | $1.07 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $1.07 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.71 | $1.07 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Molina Setting Professional Modifier None Typical Low $6.61 Median $30.20 Typical High $60.26 | Professional | None | $6.61 | $30.20 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Select Health Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $8.51 | Professional | None | $8.13 | $8.32 | $8.51 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2.95 Median $6.17 Typical High $11.75 | Professional | None | $2.95 | $6.17 | $11.75 |
United Setting Professional Modifier None Typical Low $2.69 Median $3.47 Typical High $6.76 | Professional | None | $2.69 | $3.47 | $6.76 |
Where Utah sits
The same service costs 3.2 times more in Rhode Island than in New York. 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· 24th of 51
$5.75
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.