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 $3,801.89 Median $4,570.88 Typical High $9,120.11 | Facility | None | $3,801.89 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,235.94 | $3,801.89 | $3,801.89 |
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 $3,311.31 Median $3,388.44 Typical High $4,073.80 | Professional | None | $3,311.31 | $3,388.44 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $1,380.38 Typical High $2,041.74 | Professional | None | $223.87 | $1,380.38 | $2,041.74 |
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 $3,467.37 Median $3,715.35 Typical High $4,168.69 | Professional | None | $3,467.37 | $3,715.35 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $5,011.87 | Professional | None | $2,951.21 | $4,365.16 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,709.64 | Professional | None | $2,454.71 | $3,981.07 | $8,709.64 |
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 $2,398.83 Median $2,818.38 Typical High $4,897.79 | Professional | None | $2,398.83 | $2,818.38 | $4,897.79 |
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 $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,621.81 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $645.65 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,398.83 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,398.83 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $489.78 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $489.78 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $323.59 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,238.72 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,238.72 | $2,691.53 | $2,691.53 |
Where Utah sits
The same service costs 20.9 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
$1,413
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.