How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,514 to $27,542Professionalmedian $603 · 10th to 90th $59 to $1,023
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 $1,513.56 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,513.56 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $10,964.78 Median $11,481.54 Typical High $11,481.54 | Facility | None | $10,964.78 | $11,481.54 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,288.25 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $562.34 Typical High $831.76 | Professional | None | $56.23 | $562.34 | $831.76 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $26,302.68 Typical High $38,904.51 | Facility | None | $21,379.62 | $26,302.68 | $38,904.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,412.54 | $1,584.89 |
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 $1,148.15 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,737.80 | $2,041.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $3,311.31 | Professional | None | $933.25 | $1,698.24 | $3,311.31 |
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 $891.25 Median $1,071.52 Typical High $1,819.70 | Professional | None | $891.25 | $1,071.52 | $1,819.70 |
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 $602.56 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $602.56 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $31,622.78 Median $39,810.72 Typical High $57,543.99 | Facility | 50 · Both sides | $31,622.78 | $39,810.72 | $57,543.99 |
Where Utah sits
The same service costs 7.9 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
$603
AK $4,365TX $550
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.