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 $1,479.11 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,479.11 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,174.90 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,495.41 Typical High $5,623.41 | Facility | None | $5,370.32 | $5,495.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,318.26 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $575.44 Typical High $812.83 | Professional | None | $85.11 | $575.44 | $812.83 |
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 $1,288.25 Median $1,348.96 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,348.96 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,096.48 | $1,778.28 | $2,089.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $954.99 Median $1,584.89 Typical High $3,548.13 | Professional | None | $954.99 | $1,584.89 | $3,548.13 |
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 $912.01 Median $1,047.13 Typical High $1,778.28 | Professional | None | $912.01 | $1,047.13 | $1,778.28 |
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 $575.44 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $575.44 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $234.42 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $1,047.13 | $1,047.13 |
Where Utah sits
The same service costs 14.8 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
$589
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.