How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,413 to $8,511Professionalmedian $851 · 10th to 90th $117 to $1,514
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 $1,905.46 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,905.46 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,778.28 | $1,905.46 | $1,905.46 |
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 $1,737.80 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,737.80 | $1,737.80 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $831.76 Typical High $1,202.26 | Professional | None | $114.82 | $831.76 | $1,202.26 |
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 $1,949.84 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,949.84 | $2,041.74 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,621.81 | $2,570.40 | $3,019.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,288.25 | $2,290.87 | $4,677.35 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,479.11 | $2,630.27 |
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 $891.25 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $891.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,318.26 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $263.03 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $177.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,348.96 | $1,348.96 |
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 15.8 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
$871
AK $6,310TX $398
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.