How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $17Professionalmedian $17 · 10th to 90th $11 to $21
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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.05 | Professional | None | $17.38 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 54 · Surgery only | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.63 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $1.74 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $60.26 | Professional | None | $20.89 | $30.20 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $26.92 | Professional | None | $25.70 | $26.30 | $26.92 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $37.15 | Professional | None | $16.98 | $21.38 | $37.15 |
United Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $21.38 | Professional | None | $8.51 | $10.96 | $21.38 |
Where Utah sits
The same service costs 3.5 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· 28th of 51
$17.38
RI $36.31NY $10.23
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.