How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,778 to $15,488Professionalmedian $708 · 10th to 90th $87 to $1,259
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 $1,778.28 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,778.28 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,548.82 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,623.41 | $5,888.44 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,862.09 | Professional | None | $1,412.54 | $1,412.54 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $691.83 Typical High $1,023.29 | Professional | None | $85.11 | $691.83 | $1,023.29 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $11,481.54 | $14,791.08 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,819.70 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,445.44 | $2,187.76 | $2,570.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,174.90 | $2,187.76 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,344.23 | Professional | None | $870.96 | $1,318.26 | $2,344.23 |
7 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 $758.58 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $758.58 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $309.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,148.15 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $229.09 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $154.88 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,877.62 Typical High $32,359.37 | Facility | 50 · Both sides | $16,982.44 | $21,877.62 | $32,359.37 |
Where Utah sits
The same service costs 8.9 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
$708
AK $5,495TX $617
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.