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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | None | $21.38 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $30.20 Typical High $36.31 | Facility | None | $26.92 | $30.20 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $35.48 | Professional | None | $20.89 | $27.54 | $35.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $125.89 | Facility | None | $37.15 | $51.29 | $125.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $21.88 | Professional | None | $16.60 | $21.88 | $21.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $32.36 | Professional | None | $19.05 | $22.91 | $32.36 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
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 $10.72 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $10.72 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.27 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.16 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.14 | $2.45 | $2.45 |
Where Utah sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 29th of 51
$22.91
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.