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 $1,659.59 Median $1,659.59 Typical High $2,089.30 | Facility | None | $1,659.59 | $1,659.59 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,659.59 | $2,089.30 |
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 $1,445.44 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,659.59 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $812.83 Typical High $1,202.26 | Professional | None | $112.20 | $812.83 | $1,202.26 |
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 $1,318.26 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,318.26 | $1,737.80 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,659.59 | $1,949.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,905.46 | $3,467.37 |
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 $1,000.00 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,318.26 | $2,187.76 |
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 $676.08 Median $831.76 Typical High $1,047.13 | Professional | 52 · Reduced service | $676.08 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $338.84 Typical High $416.87 | Professional | 53 · Discontinued | $269.15 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $251.19 Typical High $309.03 | Professional | 55 · Aftercare only | $204.17 | $251.19 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | 56 · Pre-op care only | $134.90 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,174.90 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $954.99 | $1,174.90 | $1,445.44 |
Where Utah sits
The same service costs 5.0 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
$933
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.