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 $2,691.53 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,691.53 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,041.74 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,023.29 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,630.27 | Professional | None | $2,187.76 | $2,290.87 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $912.01 Typical High $1,348.96 | Professional | None | $165.96 | $912.01 | $1,348.96 |
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 $2,238.72 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,344.23 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,388.44 | Professional | None | $1,905.46 | $2,884.03 | $3,388.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $4,265.80 | Professional | None | $1,479.11 | $2,818.38 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $3,162.28 | Professional | None | $1,584.89 | $1,862.09 | $3,162.28 |
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 $1,000.00 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,000.00 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $407.38 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,513.56 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $302.00 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $204.17 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,862.09 | $1,862.09 |
Where Utah sits
The same service costs 21.4 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
$955
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.