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 $1,778.28 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,778.28 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,230.27 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,548.13 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,380.38 | $1,548.82 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $588.84 Typical High $851.14 | Professional | None | $85.11 | $588.84 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,548.82 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,819.70 | $2,137.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,000.00 | $1,778.28 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,202.26 | $2,041.74 |
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 $660.69 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $660.69 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $263.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,000.00 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $199.53 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $933.25 | $1,230.27 | $1,230.27 |
Where Utah sits
The same service costs 16.6 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
$603
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.