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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $28.18 Typical High $28.18 | Professional | None | $24.55 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $38.02 | Facility | None | $22.91 | $25.70 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Molina Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | None | $23.99 | $23.99 | $31.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $85.11 | Facility | None | $46.77 | $61.66 | $85.11 |
Regence BlueShield Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
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 $19.05 Median $25.12 Typical High $25.12 | Professional | None | $19.05 | $25.12 | $25.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $75.86 | Professional | None | $23.44 | $28.84 | $75.86 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $12.30 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $12.30 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.01 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $3.72 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.45 | $2.82 | $2.82 |
Where Utah sits
The same service costs 2.8 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· 27th of 51
$24.55
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.