How much rates vary
Facilitymedian $14 · 10th to 90th $14 to $14Professionalmedian $11 · 10th to 90th $6 to $14
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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $17.38 | Professional | None | $13.80 | $13.80 | $17.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.61 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $6.61 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.82 Typical High $2.82 | Professional | 53 · Discontinued | $2.63 | $2.82 | $2.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.00 Median $10.47 Typical High $10.47 | Professional | 54 · Surgery only | $10.00 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.00 Median $2.09 Typical High $2.09 | Professional | 55 · Aftercare only | $2.00 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.32 Median $1.41 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.32 | $1.41 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $30.20 Typical High $60.26 | Professional | None | $12.30 | $30.20 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Select Health Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Select Health Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $16.22 | Professional | None | $15.14 | $15.49 | $16.22 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $5.50 Median $11.48 Typical High $21.88 | Professional | None | $5.50 | $11.48 | $21.88 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $12.59 | Professional | None | $5.01 | $6.46 | $12.59 |
Where Utah sits
The same service costs 4.5 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· 25th of 51
$10.96
RI $27.54NY $6.17
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.