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 $891.25 Median $3,162.28 Typical High $8,511.38 | Facility | None | $891.25 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,258.93 | Professional | None | $812.83 | $1,000.00 | $1,258.93 |
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 $1,023.29 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,202.26 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $851.14 | Professional | None | $85.11 | $575.44 | $851.14 |
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 $870.96 Median $1,071.52 Typical High $1,258.93 | Professional | None | $870.96 | $1,071.52 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $1,479.11 | Professional | None | $870.96 | $1,288.25 | $1,479.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,238.72 | Professional | None | $831.76 | $1,318.26 | $2,238.72 |
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 $794.33 Median $977.24 Typical High $1,445.44 | Professional | None | $794.33 | $977.24 | $1,445.44 |
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 $416.87 Median $446.68 Typical High $524.81 | Professional | 52 · Reduced service | $416.87 | $446.68 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $165.96 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $575.44 | $630.96 | $741.31 |
Where Utah sits
The same service costs 4.5 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
$776
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.