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 $1,949.84 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,949.84 | $1,949.84 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,445.44 | $1,949.84 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $851.14 Typical High $851.14 | Facility | None | $812.83 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,698.24 | $1,862.09 | $2,041.74 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $870.96 Typical High $1,288.25 | Professional | None | $114.82 | $870.96 | $1,288.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,011.87 Median $6,606.93 Typical High $9,772.37 | Facility | None | $5,011.87 | $6,606.93 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,862.09 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,258.93 | $1,862.09 | $2,187.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,230.27 | $2,137.96 | $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 $1,148.15 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,445.44 | $2,344.23 |
5 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 $724.44 Median $977.24 Typical High $1,148.15 | Professional | 52 · Reduced service | $724.44 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $389.05 Typical High $457.09 | Professional | 53 · Discontinued | $295.12 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $295.12 Typical High $346.74 | Professional | 55 · Aftercare only | $218.78 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $194.98 Typical High $229.09 | Professional | 56 · Pre-op care only | $144.54 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,380.38 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,380.38 | $1,621.81 |
Where Utah sits
The same service costs 5.1 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
$1,000
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.