How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,291 to $13,804Professionalmedian $891 · 10th to 90th $117 to $1,549
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 $2,290.87 Median $4,570.88 Typical High $12,022.64 | Facility | None | $2,290.87 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $5,754.40 Median $6,025.60 Typical High $6,165.95 | Facility | None | $5,754.40 | $6,025.60 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,905.46 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $851.14 Typical High $1,230.27 | Professional | None | $114.82 | $851.14 | $1,230.27 |
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 $1,995.26 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,137.96 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,698.24 | $2,630.27 | $3,090.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $5,248.07 | Professional | None | $1,348.96 | $2,454.71 | $5,248.07 |
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 $1,348.96 Median $1,621.81 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,621.81 | $2,818.38 |
7 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 $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $912.01 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,380.38 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,584.89 | $1,584.89 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,803.84 Median $18,197.01 Typical High $26,302.68 | Facility | 50 · Both sides | $13,803.84 | $18,197.01 | $26,302.68 |
Where Utah sits
The same service costs 20.0 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
$891
AK $6,457TX $324
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.