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 $2,089.30 Median $4,570.88 Typical High $9,120.11 | Facility | None | $2,089.30 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,445.44 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,548.13 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,737.80 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $724.44 Typical High $1,096.48 | Professional | None | $85.11 | $724.44 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,778.28 | $1,862.09 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,884.03 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,884.03 | $3,388.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,230.27 Median $2,137.96 Typical High $4,570.88 | Professional | None | $1,230.27 | $2,137.96 | $4,570.88 |
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 $1,230.27 Median $1,445.44 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,445.44 | $2,454.71 |
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 $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $812.83 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $323.59 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,202.26 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $245.47 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,445.44 | $1,445.44 |
Where Utah sits
The same service costs 17.8 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
$759
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.