How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,148 to $15,849Professionalmedian $417 · 10th to 90th $123 to $794
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 $1,148.15 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,148.15 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,148.15 | Professional | None | $812.83 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,122.02 | Professional | None | $870.96 | $1,047.13 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $389.05 Typical High $549.54 | Professional | None | $120.23 | $389.05 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,047.13 | Professional | None | $891.25 | $954.99 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,412.54 | Professional | None | $758.58 | $1,202.26 | $1,412.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $645.65 Median $1,096.48 Typical High $1,819.70 | Professional | None | $645.65 | $1,096.48 | $1,819.70 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,288.25 | Professional | None | $660.69 | $741.31 | $1,288.25 |
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 $407.38 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $407.38 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $162.18 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $602.56 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $120.23 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $81.28 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $562.34 | $812.83 | $812.83 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,488.17 Median $19,498.45 Typical High $28,183.83 | Facility | 50 · Both sides | $15,488.17 | $19,498.45 | $28,183.83 |
Where Utah sits
The same service costs 7.2 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
$427
AK $2,884TX $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.