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 $239.88 Median $2,884.03 Typical High $4,786.30 | Facility | None | $239.88 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $398.11 | Professional | None | $223.87 | $331.13 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $275.42 | Facility | None | $251.19 | $269.15 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $512.86 | Professional | None | $281.84 | $416.87 | $512.86 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $269.15 Typical High $380.19 | Professional | None | $26.92 | $269.15 | $380.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,202.26 | Facility | None | $630.96 | $831.76 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $467.74 | Professional | None | $234.42 | $371.54 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $288.40 | Professional | None | $234.42 | $257.04 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $691.83 | Professional | None | $234.42 | $446.68 | $691.83 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $524.81 | Professional | None | $213.80 | $331.13 | $524.81 |
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 $112.20 Median $165.96 Typical High $186.21 | Professional | 52 · Reduced service | $112.20 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $66.07 Typical High $74.13 | Professional | 53 · Discontinued | $44.67 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $245.47 Typical High $275.42 | Professional | 54 · Surgery only | $165.96 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $33.88 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $33.11 Typical High $37.15 | Professional | 56 · Pre-op care only | $22.39 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $229.09 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $154.88 | $229.09 | $257.04 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 49th of 51
$288
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.