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 $2,570.40 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,570.40 | $2,884.03 | $2,884.03 |
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 $2,570.40 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,570.40 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,288.25 Typical High $1,862.09 | Professional | None | $165.96 | $1,288.25 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $20,417.38 Median $25,118.86 Typical High $37,153.52 | Facility | None | $20,417.38 | $25,118.86 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,884.03 Median $3,019.95 Typical High $3,388.44 | Professional | None | $2,884.03 | $3,019.95 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $5,011.87 Typical High $5,888.44 | Professional | None | $2,454.71 | $5,011.87 | $5,888.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $6,025.60 | Professional | None | $1,995.26 | $3,467.37 | $6,025.60 |
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 $1,778.28 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,778.28 | $2,238.72 | $3,801.89 |
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 $1,905.46 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,905.46 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,041.74 | $2,041.74 |
Where Utah sits
The same service costs 9.1 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
$1,349
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.