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 $1,047.13 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,047.13 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,047.13 | Professional | None | $691.83 | $1,047.13 | $1,047.13 |
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 $776.25 Median $870.96 Typical High $1,000.00 | Professional | None | $776.25 | $870.96 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $371.54 Typical High $537.03 | Professional | None | $56.23 | $371.54 | $537.03 |
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 $851.14 Median $891.25 Typical High $1,000.00 | Professional | None | $851.14 | $891.25 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $1,122.02 Typical High $1,318.26 | Professional | None | $707.95 | $1,122.02 | $1,318.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $588.84 Median $1,023.29 Typical High $2,290.87 | Professional | None | $588.84 | $1,023.29 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,148.15 | Professional | None | $602.56 | $676.08 | $1,148.15 |
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 $380.19 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $380.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $154.88 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $575.44 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $114.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 56 · Pre-op care only | $75.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $537.03 | $741.31 | $741.31 |
Where Utah sits
The same service costs 8.1 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
$398
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.