How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,122 to $15,488Professionalmedian $427 · 10th to 90th $59 to $741
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 $1,122.02 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,122.02 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,122.02 | Professional | None | $891.25 | $1,122.02 | $1,122.02 |
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 $954.99 Median $977.24 Typical High $1,122.02 | Professional | None | $954.99 | $977.24 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $407.38 Typical High $588.84 | Professional | None | $56.23 | $407.38 | $588.84 |
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 $977.24 Median $1,047.13 Typical High $1,148.15 | Professional | None | $977.24 | $1,047.13 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,513.56 | Professional | None | $831.76 | $1,288.25 | $1,513.56 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $707.95 Median $1,258.93 Typical High $1,778.28 | Professional | None | $707.95 | $1,258.93 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,348.96 | Professional | None | $691.83 | $794.33 | $1,348.96 |
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 $446.68 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $89.13 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $616.60 | $794.33 | $794.33 |
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 7.6 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
$437
AK $3,162TX $417
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.