How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,318 to $27,542Professionalmedian $513 · 10th to 90th $59 to $912
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 $1,318.26 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,318.26 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,318.26 | Professional | None | $933.25 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,128.31 | Facility | None | $7,762.47 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,122.02 | $1,148.15 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $489.78 Typical High $724.44 | Professional | None | $56.23 | $489.78 | $724.44 |
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 $1,174.90 Median $1,230.27 Typical High $1,380.38 | Professional | None | $1,174.90 | $1,230.27 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,513.56 Typical High $1,778.28 | Professional | None | $977.24 | $1,513.56 | $1,778.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $812.83 Median $1,412.54 Typical High $3,090.30 | Professional | None | $812.83 | $1,412.54 | $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 $812.83 Median $933.25 Typical High $1,584.89 | Professional | None | $812.83 | $933.25 | $1,584.89 |
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 $524.81 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $524.81 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $208.93 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $794.33 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $158.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $104.71 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $741.31 | $933.25 | $933.25 |
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
$525
AK $3,715TX $468
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.