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 $269.15 Median $436.52 Typical High $4,570.88 | Facility | None | $269.15 | $436.52 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $436.52 | Professional | None | $269.15 | $302.00 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $537.03 | Professional | None | $302.00 | $446.68 | $537.03 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $199.53 Typical High $316.23 | Professional | None | $26.30 | $199.53 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,819.70 | Facility | None | $977.24 | $1,258.93 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $416.87 | Professional | None | $223.87 | $354.81 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $275.42 | Professional | None | $223.87 | $245.47 | $275.42 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $562.34 | Professional | None | $199.53 | $398.11 | $562.34 |
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 $213.80 Median $338.84 Typical High $549.54 | Professional | None | $213.80 | $338.84 | $549.54 |
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 $114.82 Median $151.36 Typical High $218.78 | Professional | 52 · Reduced service | $114.82 | $151.36 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $60.26 Typical High $87.10 | Professional | 53 · Discontinued | $45.71 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $229.09 Typical High $331.13 | Professional | 54 · Surgery only | $173.78 | $229.09 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $45.71 Typical High $66.07 | Professional | 55 · Aftercare only | $34.67 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $30.20 Typical High $43.65 | Professional | 56 · Pre-op care only | $22.91 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $213.80 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $162.18 | $213.80 | $309.03 |
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· 48th of 51
$263
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.