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 $288.40 Median $2,951.21 Typical High $4,570.88 | Facility | None | $288.40 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $407.38 | Professional | None | $275.42 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $257.04 | Facility | None | $239.88 | $251.19 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $489.78 | Professional | None | $331.13 | $398.11 | $489.78 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $190.55 Typical High $295.12 | Professional | None | $28.18 | $190.55 | $295.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,202.26 | Facility | None | $630.96 | $831.76 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $446.68 | Professional | None | $295.12 | $371.54 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $346.74 | Professional | None | $295.12 | $316.23 | $346.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $588.84 | Professional | None | $251.19 | $416.87 | $588.84 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $501.19 | Professional | None | $263.03 | $338.84 | $501.19 |
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 $141.25 Median $147.91 Typical High $177.83 | Professional | 52 · Reduced service | $141.25 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $70.79 | Professional | 53 · Discontinued | $57.54 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $218.78 Typical High $263.03 | Professional | 54 · Surgery only | $213.80 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $53.70 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $29.51 Typical High $35.48 | Professional | 56 · Pre-op care only | $28.84 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $204.17 Typical High $245.47 | Professional | 78 · Unplanned return to OR | $199.53 | $204.17 | $245.47 |
Where Utah sits
The same service costs 4.7 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
$257
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.