How much rates vary
Facilitymedian $11,482 · 10th to 90th $3,162 to $38,019Professionalmedian $1,698 · 10th to 90th $257 to $3,020
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 $4,073.80 Typical High $6,025.60 | Facility | None | $3,162.28 | $4,073.80 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,715.35 | $4,073.80 | $4,073.80 |
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 $3,801.89 Median $3,890.45 Typical High $4,466.84 | Professional | None | $3,801.89 | $3,890.45 | $4,466.84 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $1,659.59 Typical High $2,454.71 | Professional | None | $251.19 | $1,659.59 | $2,454.71 |
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 $4,073.80 Median $4,365.16 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,365.16 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Select Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $6,165.95 | Professional | None | $3,467.37 | $5,248.07 | $6,165.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $7,413.10 | Professional | None | $3,019.95 | $5,248.07 | $7,413.10 |
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 $2,630.27 Median $3,311.31 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,311.31 | $5,623.41 |
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 $1,862.09 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,862.09 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $741.31 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $3,090.30 Typical High $3,090.30 | Professional | 54 · Surgery only | $2,754.23 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $562.34 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $371.54 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,884.03 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $2,570.40 | $2,884.03 | $2,884.03 |
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 20.4 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
$1,698
AK $13,183TX $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.