How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,950 to $8,318Professionalmedian $933 · 10th to 90th $117 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 $2,187.76 Median $3,388.44 Typical High $6,025.60 | Facility | None | $2,187.76 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,905.46 | $2,187.76 | $2,187.76 |
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 $1,862.09 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,862.09 | $1,862.09 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $891.25 Typical High $1,288.25 | Professional | None | $114.82 | $891.25 | $1,288.25 |
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 $2,089.30 Median $2,187.76 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,187.76 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,754.23 Typical High $3,235.94 | Professional | None | $1,737.80 | $2,754.23 | $3,235.94 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $4,073.80 | Professional | None | $1,380.38 | $2,630.27 | $4,073.80 |
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 $1,380.38 Median $1,659.59 Typical High $2,818.38 | Professional | None | $1,380.38 | $1,659.59 | $2,818.38 |
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 $954.99 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $954.99 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $380.19 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,412.54 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $281.84 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $190.55 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,548.82 | $1,548.82 |
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 7.8 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
$933
AK $6,761TX $871
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.