How much rates vary
Facilitymedian $11,482 · 10th to 90th $3,162 to $38,019Professionalmedian $1,445 · 10th to 90th $200 to $2,570
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 $3,162.28 Median $3,235.94 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,235.94 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,090.30 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $15,848.93 Median $16,595.87 Typical High $16,595.87 | Facility | None | $15,848.93 | $16,595.87 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,951.21 | $2,951.21 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,412.54 Typical High $2,089.30 | Professional | None | $194.98 | $1,412.54 | $2,089.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,302.68 Median $32,359.37 Typical High $47,863.01 | Facility | None | $26,302.68 | $32,359.37 | $47,863.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,630.78 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Select Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $5,128.61 | Professional | None | $2,951.21 | $4,365.16 | $5,128.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,398.83 Median $4,365.16 Typical High $8,317.64 | Professional | None | $2,398.83 | $4,365.16 | $8,317.64 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $4,786.30 | Professional | None | $2,089.30 | $2,754.23 | $4,786.30 |
7 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 $1,548.82 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,548.82 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $660.69 Typical High $660.69 | Professional | 53 · Discontinued | $630.96 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,454.71 Typical High $2,454.71 | Professional | 54 · Surgery only | $2,344.23 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $467.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $309.03 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $309.03 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,290.87 | $2,290.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $38,904.51 Median $48,977.88 Typical High $70,794.58 | Facility | 50 · Both sides | $38,904.51 | $48,977.88 | $70,794.58 |
Where Utah sits
The same service costs 20.0 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
$1,445
AK $11,220TX $562
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.