How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,090.30 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $3,235.94 Typical High $4,265.80 | Facility | None | $151.36 | $3,235.94 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $245.47 | Professional | None | $60.26 | $72.44 | $245.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $147.91 | Professional | None | $123.03 | $131.83 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | None | $120.23 | $120.23 | $154.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $162.18 Typical High $269.15 | Professional | None | $83.18 | $162.18 | $269.15 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,548.82 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $616.60 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $309.03 | $323.59 | $323.59 |
Where Utah sits
The same service costs 37.2 times more in Wyoming than in North Carolina. 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· 40th of 51
$126
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.