How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,479 to $26,303Professionalmedian $1,380 · 10th to 90th $891 to $1,622
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 $1,479.11 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,479.11 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $11,220.18 Typical High $11,481.54 | Facility | None | $10,715.19 | $11,220.18 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,258.93 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $741.31 Typical High $741.31 | Professional | None | $30.20 | $741.31 | $741.31 |
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 $1,380.38 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,479.11 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,309.57 | Professional | None | $5,011.87 | $5,011.87 | $6,309.57 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,698.24 | $1,995.26 |
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 $870.96 Median $1,096.48 Typical High $1,905.46 | Professional | None | $870.96 | $1,096.48 | $1,905.46 |
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 $616.60 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $616.60 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $251.19 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $933.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $186.21 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $123.03 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $870.96 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $30,199.52 Median $38,018.94 Typical High $54,954.09 | Facility | 50 · Both sides | $30,199.52 | $38,018.94 | $54,954.09 |
Where Utah sits
The same service costs 46.8 times more in Alaska than in Hawaii. 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· 30th of 51
$1,445
AK $4,467HI $95.50
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.