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 $2,290.87 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,290.87 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,071.52 | Facility | None | $1,000.00 | $1,047.13 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,691.53 | Professional | None | $1,513.56 | $1,513.56 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,621.81 | $1,949.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,786.30 | Facility | None | $2,511.89 | $3,311.31 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $2,570.40 | Professional | None | $2,137.96 | $2,238.72 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $3,311.31 Typical High $3,890.45 | Professional | None | $1,737.80 | $3,311.31 | $3,890.45 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,621.81 Median $2,951.21 Typical High $4,466.84 | Professional | None | $1,621.81 | $2,951.21 | $4,466.84 |
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 $1,288.25 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,288.25 | $1,905.46 | $3,388.44 |
1 more rate 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 54 · Surgery only Typical Low $1,513.56 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,513.56 | $1,737.80 | $1,737.80 |
Where Utah sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 47th of 51
$1,738
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.