How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,622 to $8,511Professionalmedian $631 · 10th to 90th $87 to $1,122
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 $1,621.81 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,621.81 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
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 $1,348.96 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,380.38 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $602.56 Typical High $870.96 | Professional | None | $85.11 | $602.56 | $870.96 |
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 $1,412.54 Median $1,513.56 Typical High $1,659.59 | Professional | None | $1,412.54 | $1,513.56 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,862.09 | $2,187.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $3,019.95 | Professional | None | $1,000.00 | $1,659.59 | $3,019.95 |
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 $933.25 Median $1,148.15 Typical High $1,905.46 | Professional | None | $933.25 | $1,148.15 | $1,905.46 |
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 $645.65 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $645.65 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $257.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $977.24 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | 55 · Aftercare only | $194.98 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $128.82 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,122.02 |
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 7.9 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
$646
AK $4,571TX $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.