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 $870.96 Median $4,570.88 Typical High $8,912.51 | Facility | None | $870.96 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,380.38 | Professional | None | $851.14 | $870.96 | $1,380.38 |
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 $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $524.81 Typical High $741.31 | Professional | None | $56.23 | $524.81 | $741.31 |
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 $977.24 Median $1,148.15 Typical High $1,380.38 | Professional | None | $977.24 | $1,148.15 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,202.26 | Professional | None | $977.24 | $1,071.52 | $1,202.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,412.54 | Professional | None | $741.31 | $1,174.90 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,513.56 | Professional | None | $758.58 | $912.01 | $1,513.56 |
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 $426.58 Median $436.52 Typical High $467.74 | Professional | 52 · Reduced service | $426.58 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $177.83 Typical High $186.21 | Professional | 53 · Discontinued | $169.82 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $691.83 | Professional | 54 · Surgery only | $645.65 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $138.04 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $87.10 Typical High $93.33 | Professional | 56 · Pre-op care only | $85.11 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $645.65 |
Where Utah sits
The same service costs 7.6 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
$617
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.