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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $45.71 | Professional | None | $25.70 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | 52 · Reduced service | $12.88 | $12.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $9.33 | Professional | 53 · Discontinued | $5.13 | $5.13 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $19.50 Typical High $34.67 | Professional | 54 · Surgery only | $19.50 | $19.50 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $6.92 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $75.86 | Professional | None | $30.20 | $60.26 | $75.86 |
Regence BlueShield Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Select Health Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $89.13 | Professional | None | $83.18 | $85.11 | $89.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $54.95 Median $69.18 Typical High $120.23 | Professional | None | $54.95 | $69.18 | $120.23 |
United Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $69.18 | Professional | None | $27.54 | $35.48 | $69.18 |
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· 48th of 51
$35.48
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.