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 $3,090.30 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,090.30 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,511.89 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,365.16 | $4,570.88 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,511.89 | $2,691.53 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $165.96 | $1,071.52 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,317.64 Median $10,471.29 Typical High $15,135.61 | Facility | None | $8,317.64 | $10,471.29 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,162.28 | Professional | None | $2,691.53 | $2,884.03 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,290.87 | $3,311.31 | $3,890.45 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $5,128.61 | Professional | None | $1,905.46 | $3,090.30 | $5,128.61 |
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 $1,862.09 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,187.76 | $3,715.35 |
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 $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,230.27 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $501.19 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,862.09 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $371.54 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $251.19 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $2,137.96 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,737.80 | $2,137.96 | $2,137.96 |
Where Utah sits
The same service costs 21.9 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
$1,096
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.