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 $912.01 Median $1,122.02 Typical High $4,570.88 | Facility | None | $912.01 | $1,122.02 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,122.02 | Professional | None | $602.56 | $912.01 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $158.49 | Facility | None | $147.91 | $154.88 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $933.25 | Professional | None | $758.58 | $812.83 | $933.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $501.19 Typical High $660.69 | Professional | None | $54.95 | $501.19 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $691.83 | Facility | None | $380.19 | $478.63 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,023.29 | Professional | None | $616.60 | $870.96 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $912.01 | Professional | None | $524.81 | $776.25 | $912.01 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,548.82 | Professional | None | $575.44 | $954.99 | $1,548.82 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,023.29 | Professional | None | $467.74 | $645.65 | $1,023.29 |
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 $338.84 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $338.84 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $134.90 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $676.08 Typical High $831.76 | Professional | 54 · Surgery only | $512.86 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $138.04 Typical High $165.96 | Professional | 55 · Aftercare only | $102.33 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $67.61 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $630.96 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $478.63 | $630.96 | $776.25 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 49th of 51
$537
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.