How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,698 to $15,849Professionalmedian $631 · 10th to 90th $87 to $1,148
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 $1,698.24 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,698.24 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,202.26 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $6,025.60 Typical High $6,165.95 | Facility | None | $5,888.44 | $6,025.60 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,412.54 | $1,479.11 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $588.84 Typical High $933.25 | Professional | None | $85.11 | $588.84 | $933.25 |
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 $1,479.11 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,548.82 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,905.46 | $2,238.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $3,801.89 | Professional | None | $1,023.29 | $1,778.28 | $3,801.89 |
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 $1,000.00 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,202.26 | $2,041.74 |
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 $660.69 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $269.15 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,000.00 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $933.25 | $1,202.26 | $1,202.26 |
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 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
$631
AK $4,786TX $575
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.