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 $2,884.03 Median $4,570.88 Typical High $12,302.69 | Facility | None | $2,884.03 | $4,570.88 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,630.27 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $13,182.57 Median $13,803.84 Typical High $14,125.38 | Facility | None | $13,182.57 | $13,803.84 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,290.87 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,258.93 Typical High $1,905.46 | Professional | None | $165.96 | $1,258.93 | $1,905.46 |
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 $2,951.21 Median $3,162.28 Typical High $3,467.37 | Professional | None | $2,951.21 | $3,162.28 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Select Health Setting Professional Modifier None Typical Low $2,511.89 Median $5,011.87 Typical High $5,888.44 | Professional | None | $2,511.89 | $5,011.87 | $5,888.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,137.96 Median $3,801.89 Typical High $7,585.78 | Professional | None | $2,137.96 | $3,801.89 | $7,585.78 |
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 $2,290.87 Typical High $3,890.45 | Professional | None | $1,862.09 | $2,290.87 | $3,890.45 |
2 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 54 · Surgery only Typical Low $1,949.84 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,949.84 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,819.70 | $2,041.74 | $2,041.74 |
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
$1,318
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.