How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,122 to $10,233Professionalmedian $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 $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | None | $870.96 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,949.84 | $1,995.26 |
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 $5,128.61 Median $6,760.83 Typical High $9,772.37 | Facility | None | $5,128.61 | $6,760.83 | $9,772.37 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $676.08 Median $1,174.90 Typical High $2,570.40 | Professional | None | $676.08 | $1,174.90 | $2,570.40 |
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 $691.83 Median $794.33 Typical High $1,318.26 | Professional | None | $691.83 | $794.33 | $1,318.26 |
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 $436.52 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $660.69 | $831.76 | $831.76 |
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 $87.10 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $616.60 | $776.25 | $776.25 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $10,000.00 Typical High $14,454.40 | Facility | 50 · Both sides | $7,762.47 | $10,000.00 | $14,454.40 |
Where Utah sits
The same service costs 8.3 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 $380
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.