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 $1,778.28 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,778.28 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,659.59 | $1,778.28 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,344.23 | Facility | None | $2,187.76 | $2,290.87 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Professional | None | $2,041.74 | $2,041.74 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $933.25 Typical High $1,348.96 | Professional | None | $141.25 | $933.25 | $1,348.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $7,585.78 Typical High $10,964.78 | Facility | None | $6,025.60 | $7,585.78 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,905.46 | $2,238.72 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,905.46 | $2,041.74 | $2,290.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,380.38 | $2,238.72 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,819.70 | $2,951.21 |
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 $831.76 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $831.76 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $331.13 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $251.19 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,258.93 | $1,258.93 |
Where Utah sits
The same service costs 8.7 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
$1,096
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.