How much rates vary
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $173.78 | Professional | None | $67.61 | $67.61 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $33.88 Typical High $87.10 | Professional | 52 · Reduced service | $33.88 | $33.88 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $34.67 | Professional | 53 · Discontinued | $13.80 | $13.80 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $26.30 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $17.38 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $194.98 | Professional | None | $107.15 | $154.88 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $323.59 | Facility | None | $204.17 | $213.80 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $338.84 | Professional | None | $213.80 | $218.78 | $338.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $323.59 | Professional | None | $162.18 | $218.78 | $323.59 |
United Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $151.36 | Professional | None | $95.50 | $104.71 | $151.36 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Utah sits
The same service costs 3.3 times more in Alaska than in Indiana. 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· 48th of 51
$105
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.