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 $3,090.30 Median $4,570.88 Typical High $12,302.69 | Facility | None | $3,090.30 | $4,570.88 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,454.71 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,964.78 Typical High $11,220.18 | Facility | None | $10,471.29 | $10,964.78 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,511.89 | $2,691.53 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $1,318.26 Typical High $1,698.24 | Professional | None | $190.55 | $1,318.26 | $1,698.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,302.68 Median $32,359.37 Typical High $47,863.01 | Facility | None | $26,302.68 | $32,359.37 | $47,863.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $3,981.07 | Professional | None | $3,388.44 | $3,630.78 | $3,981.07 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $4,365.16 Typical High $5,128.61 | Professional | None | $2,290.87 | $4,365.16 | $5,128.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,862.09 Median $3,548.13 Typical High $6,606.93 | Professional | None | $1,862.09 | $3,548.13 | $6,606.93 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $3,801.89 | Professional | None | $1,862.09 | $2,187.76 | $3,801.89 |
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 $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,230.27 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $489.78 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,819.70 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $371.54 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $245.47 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,698.24 | $2,187.76 | $2,187.76 |
Where Utah sits
The same service costs 6.5 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
$1,380
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.