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 $891.25 Median $3,162.28 Typical High $10,232.93 | Facility | None | $891.25 | $3,162.28 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,071.52 | Professional | None | $630.96 | $891.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,454.71 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $933.25 | Professional | None | $741.31 | $831.76 | $933.25 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $389.05 Typical High $562.34 | Professional | None | $56.23 | $389.05 | $562.34 |
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 $676.08 Median $794.33 Typical High $933.25 | Professional | None | $676.08 | $794.33 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $870.96 Typical High $1,023.29 | Professional | None | $575.44 | $870.96 | $1,023.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,778.28 | Professional | None | $549.54 | $933.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $1,071.52 | Professional | None | $524.81 | $645.65 | $1,071.52 |
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 $323.59 Median $446.68 Typical High $537.03 | Professional | 52 · Reduced service | $323.59 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $128.82 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $489.78 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $97.72 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $64.57 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $457.09 | $630.96 | $741.31 |
Where Utah sits
The same service costs 6.2 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
$447
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.