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 $1,995.26 Median $1,995.26 Typical High $2,454.71 | Facility | None | $1,995.26 | $1,995.26 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,995.26 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $954.99 | Facility | None | $912.01 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,905.46 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $912.01 Typical High $1,380.38 | Professional | None | $114.82 | $912.01 | $1,380.38 |
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 $1,513.56 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,513.56 | $1,995.26 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,905.46 | $2,238.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,318.26 Median $2,187.76 Typical High $3,981.07 | Professional | None | $1,318.26 | $2,187.76 | $3,981.07 |
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 $1,174.90 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,513.56 | $2,511.89 |
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 $776.25 Median $1,000.00 Typical High $1,230.27 | Professional | 52 · Reduced service | $776.25 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $407.38 Typical High $489.78 | Professional | 53 · Discontinued | $309.03 | $407.38 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $302.00 Typical High $371.54 | Professional | 55 · Aftercare only | $234.42 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $199.53 Typical High $245.47 | Professional | 56 · Pre-op care only | $154.88 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,412.54 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,412.54 | $1,698.24 |
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
$1,047
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.