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 $954.99 Median $4,570.88 Typical High $9,120.11 | Facility | None | $954.99 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,513.56 | Professional | None | $933.25 | $954.99 | $1,513.56 |
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 $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $537.03 Typical High $794.33 | Professional | None | $56.23 | $537.03 | $794.33 |
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 $1,071.52 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,258.93 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,174.90 | $1,318.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,862.09 | Professional | None | $870.96 | $1,380.38 | $1,862.09 |
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 $831.76 Median $1,023.29 Typical High $1,698.24 | Professional | None | $831.76 | $1,023.29 | $1,698.24 |
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 $467.74 Median $478.63 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $478.63 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $186.21 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $724.44 Typical High $758.58 | Professional | 54 · Surgery only | $707.95 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $144.54 Typical High $151.36 | Professional | 55 · Aftercare only | $141.25 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $102.33 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $676.08 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $660.69 | $676.08 | $707.95 |
Where Utah sits
The same service costs 8.3 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
$646
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.