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 $602.56 Median $3,162.28 Typical High $8,511.38 | Facility | None | $602.56 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $870.96 | Professional | None | $562.34 | $691.83 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $977.24 | Professional | None | $691.83 | $812.83 | $977.24 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $436.52 Typical High $630.96 | Professional | None | $56.23 | $436.52 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $5,495.41 | Facility | None | $3,019.95 | $3,801.89 | $5,495.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | None | $602.56 | $758.58 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,047.13 | Professional | None | $602.56 | $933.25 | $1,047.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $575.44 Median $912.01 Typical High $1,513.56 | Professional | None | $575.44 | $912.01 | $1,513.56 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,000.00 | Professional | None | $524.81 | $691.83 | $1,000.00 |
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 $295.12 Median $302.00 Typical High $363.08 | Professional | 52 · Reduced service | $295.12 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $144.54 | Professional | 53 · Discontinued | $117.49 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $457.09 Typical High $537.03 | Professional | 54 · Surgery only | $436.52 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $91.20 Typical High $109.65 | Professional | 55 · Aftercare only | $87.10 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | 56 · Pre-op care only | $58.88 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $426.58 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $407.38 | $426.58 | $501.19 |
Where Utah sits
The same service costs 4.3 times more in Alaska than in Texas. 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· 50th of 51
$562
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.