How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,230 to $13,804Professionalmedian $457 · 10th to 90th $59 to $851
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 $1,230.27 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,230.27 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,230.27 | $1,230.27 |
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 $1,023.29 Median $1,047.13 Typical High $1,230.27 | Professional | None | $1,023.29 | $1,047.13 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $436.52 Typical High $676.08 | Professional | None | $56.23 | $436.52 | $676.08 |
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 $1,096.48 Median $1,148.15 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,148.15 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,659.59 | Professional | None | $912.01 | $1,412.54 | $1,659.59 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $776.25 Median $1,318.26 Typical High $2,818.38 | Professional | None | $776.25 | $1,318.26 | $2,818.38 |
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 $724.44 Median $870.96 Typical High $1,479.11 | Professional | None | $724.44 | $870.96 | $1,479.11 |
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 $501.19 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $501.19 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $741.31 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $147.91 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $100.00 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $691.83 | $870.96 | $870.96 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,803.84 Median $18,197.01 Typical High $26,302.68 | Facility | 50 · Both sides | $13,803.84 | $18,197.01 | $26,302.68 |
Where Utah sits
The same service costs 20.9 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
$468
AK $3,467TX $166
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.