How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,072 to $15,849Professionalmedian $977 · 10th to 90th $170 to $1,778
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 $2,818.38 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,818.38 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,818.38 | $2,818.38 |
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 $2,238.72 Median $2,398.83 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,398.83 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $954.99 Typical High $1,412.54 | Professional | None | $165.96 | $954.99 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,454.71 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,951.21 Typical High $3,467.37 | Professional | None | $1,949.84 | $2,951.21 | $3,467.37 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,513.56 Median $2,754.23 Typical High $4,168.69 | Professional | None | $1,513.56 | $2,754.23 | $4,168.69 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,621.81 | $1,905.46 | $3,235.94 |
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 $1,047.13 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,047.13 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $416.87 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,548.82 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $309.03 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $208.93 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,949.84 | $1,949.84 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,488.17 Median $19,498.45 Typical High $28,183.83 | Facility | 50 · Both sides | $15,488.17 | $19,498.45 | $28,183.83 |
Where Utah sits
The same service costs 18.6 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
$977
AK $7,413TX $398
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.