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 $758.58 Median $4,570.88 Typical High $8,912.51 | Facility | None | $758.58 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $758.58 | Professional | None | $616.60 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $478.63 | Facility | None | $446.68 | $467.74 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $741.31 | Professional | None | $630.96 | $645.65 | $741.31 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $331.13 Typical High $457.09 | Professional | None | $54.95 | $331.13 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,089.30 | Facility | None | $1,122.02 | $1,445.44 | $2,089.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $812.83 | Professional | None | $691.83 | $741.31 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,071.52 | Professional | None | $588.84 | $912.01 | $1,071.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $389.05 Median $812.83 Typical High $1,258.93 | Professional | None | $389.05 | $812.83 | $1,258.93 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $912.01 | Professional | None | $436.52 | $549.54 | $912.01 |
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 $309.03 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $309.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $125.89 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | 54 · Surgery only | $467.74 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | 55 · Aftercare only | $93.33 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $61.66 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $524.81 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $436.52 | $524.81 | $524.81 |
Where Utah sits
The same service costs 6.3 times more in Alaska than in Utah. 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· 51st of 51
$355
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.