How much rates vary
Facilitymedian $5,754 · 10th to 90th $3,162 to $13,804Professionalmedian $1,995 · 10th to 90th $309 to $3,631
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 $4,168.69 Median $4,570.88 Typical High $9,120.11 | Facility | None | $4,168.69 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,365.16 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,495.41 Typical High $5,623.41 | Facility | None | $5,370.32 | $5,495.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $5,248.07 | Professional | None | $4,168.69 | $4,168.69 | $5,248.07 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $1,949.84 Typical High $2,884.03 | Professional | None | $309.03 | $1,949.84 | $2,884.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $5,623.41 | Professional | None | $4,786.30 | $5,011.87 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Select Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $7,244.36 | Professional | None | $4,073.80 | $6,165.95 | $7,244.36 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,548.13 Median $6,025.60 Typical High $8,317.64 | Professional | None | $3,548.13 | $6,025.60 | $8,317.64 |
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 $3,019.95 Median $3,801.89 Typical High $6,456.54 | Professional | None | $3,019.95 | $3,801.89 | $6,456.54 |
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 $2,187.76 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $2,187.76 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $3,467.37 Typical High $3,467.37 | Professional | 54 · Surgery only | $3,235.94 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $645.65 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $436.52 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,019.95 Median $3,235.94 Typical High $3,235.94 | Professional | 78 · Unplanned return to OR | $3,019.95 | $3,235.94 | $3,235.94 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,488.17 Median $19,498.45 Typical High $28,183.83 | Facility | 50 · Both sides | $15,488.17 | $19,498.45 | $28,183.83 |
Where Utah sits
The same service costs 20.4 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
$1,995
AK $15,488TX $759
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.