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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $154.88 | Professional | None | $57.54 | $57.54 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $77.62 | Professional | 52 · Reduced service | $28.84 | $28.84 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $30.90 | Professional | 53 · Discontinued | $11.75 | $11.75 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $22.91 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $15.49 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $147.91 Typical High $165.96 | Professional | None | $60.26 | $147.91 | $165.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $275.42 | Facility | None | $173.78 | $181.97 | $275.42 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $218.78 | Professional | None | $141.25 | $186.21 | $218.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $275.42 | Professional | None | $138.04 | $186.21 | $275.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $128.82 | Professional | None | $81.28 | $91.20 | $128.82 |
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 2.6 times more in Minnesota than in Utah. 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· 51st of 51
$89.13
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.