How much rates vary
Facilitymedian $6 · 10th to 90th $6 to $6Professionalmedian $6 · 10th to 90th $5 to $10
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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | None | $6.46 | $6.46 | $7.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 54 · Surgery only | $4.79 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 55 · Aftercare only | $0.98 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.65 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $30.20 Typical High $60.26 | Professional | None | $9.55 | $30.20 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Select Health Setting Professional Modifier None Typical Low $11.75 Median $12.02 Typical High $12.30 | Professional | None | $11.75 | $12.02 | $12.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $16.98 | Professional | None | $4.27 | $8.71 | $16.98 |
United Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $9.77 | Professional | None | $3.89 | $4.90 | $9.77 |
Where Utah sits
The same service costs 2.9 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· 38th of 51
$6.46
RI $13.49NY $4.68
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.