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 $831.76 Median $3,162.28 Typical High $8,511.38 | Facility | None | $831.76 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,174.90 | Professional | None | $758.58 | $933.25 | $1,174.90 |
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 $977.24 Median $1,122.02 Typical High $1,318.26 | Professional | None | $977.24 | $1,122.02 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $537.03 Typical High $831.76 | Professional | None | $85.11 | $537.03 | $831.76 |
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 $812.83 Median $977.24 Typical High $1,174.90 | Professional | None | $812.83 | $977.24 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $812.83 Median $1,202.26 Typical High $1,380.38 | Professional | None | $812.83 | $1,202.26 | $1,380.38 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,089.30 | Professional | None | $758.58 | $1,230.27 | $2,089.30 |
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 $724.44 Median $912.01 Typical High $1,348.96 | Professional | None | $724.44 | $912.01 | $1,348.96 |
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 $389.05 Median $416.87 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $165.96 Typical High $199.53 | Professional | 53 · Discontinued | $154.88 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $630.96 Typical High $741.31 | Professional | 54 · Surgery only | $575.44 | $630.96 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $114.82 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $83.18 Typical High $100.00 | Professional | 56 · Pre-op care only | $77.62 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $588.84 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $537.03 | $588.84 | $691.83 |
Where Utah sits
The same service costs 4.4 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
$741
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.