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 $102.33 Median $2,951.21 Typical High $4,570.88 | Facility | None | $102.33 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $257.04 | Professional | None | $102.33 | $158.49 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $263.03 Typical High $269.15 | Facility | None | $257.04 | $263.03 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $295.12 | Professional | None | $117.49 | $190.55 | $295.12 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $186.21 Typical High $245.47 | Professional | None | $26.92 | $186.21 | $245.47 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,089.30 | Facility | None | $1,122.02 | $1,445.44 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $309.03 | Professional | None | $112.20 | $218.78 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $151.36 | Professional | None | $112.20 | $134.90 | $151.36 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $95.50 Median $223.87 Typical High $398.11 | Professional | None | $95.50 | $223.87 | $398.11 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $95.50 Median $165.96 Typical High $302.00 | Professional | None | $95.50 | $165.96 | $302.00 |
6 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 $51.29 Median $79.43 Typical High $114.82 | Professional | 52 · Reduced service | $51.29 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $31.62 Typical High $45.71 | Professional | 53 · Discontinued | $20.42 | $31.62 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $117.49 Typical High $173.78 | Professional | 54 · Surgery only | $77.62 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $23.44 Typical High $34.67 | Professional | 55 · Aftercare only | $15.49 | $23.44 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $15.85 Typical High $22.91 | Professional | 56 · Pre-op care only | $10.23 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $109.65 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $72.44 | $109.65 | $162.18 |
Where Utah sits
The same service costs 4.1 times more in Alaska 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· 45th of 51
$182
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.