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 $2,691.53 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,691.53 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,570.40 | $2,691.53 | $2,691.53 |
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 $2,398.83 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,398.83 | $2,398.83 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,148.15 Typical High $1,698.24 | Professional | None | $165.96 | $1,148.15 | $1,698.24 |
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 $2,818.38 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,818.38 | $2,951.21 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,630.78 Typical High $4,265.80 | Professional | None | $2,398.83 | $3,630.78 | $4,265.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $7,244.36 | Professional | None | $1,949.84 | $3,235.94 | $7,244.36 |
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 $1,621.81 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,621.81 | $2,238.72 | $3,801.89 |
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 $1,288.25 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,288.25 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $512.86 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,905.46 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $380.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $257.04 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,862.09 | $1,862.09 |
Where Utah sits
The same service costs 21.4 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
$1,202
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.