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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | None | $14.13 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | 52 · Reduced service | $7.08 | $7.08 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.98 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | 54 · Surgery only | $10.72 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.14 Typical High $3.02 | Professional | 55 · Aftercare only | $2.14 | $2.14 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $2.00 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $60.26 | Professional | None | $29.51 | $33.11 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Select Health Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Select Health Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $38.02 | Professional | None | $36.31 | $37.15 | $38.02 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $52.48 | Professional | None | $27.54 | $38.02 | $52.48 |
United Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $30.20 | Professional | None | $12.02 | $15.14 | $30.20 |
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· 50th of 51
$15.14
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.