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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $81.28 | Professional | None | $61.66 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | 52 · Reduced service | $30.90 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $12.30 | $16.22 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | 54 · Surgery only | $46.77 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $134.90 | Professional | None | $30.20 | $60.26 | $134.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | None | $147.91 | $151.36 | $154.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $213.80 | Professional | None | $112.20 | $154.88 | $213.80 |
United Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $123.03 | Professional | None | $48.98 | $63.10 | $123.03 |
Where Utah sits
The same service costs 2.8 times more in Hawaii 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· 47th of 51
$63.10
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.