How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,455 to $15,849Professionalmedian $912 · 10th to 90th $141 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 $2,454.71 Median $4,570.88 Typical High $9,772.37 | Facility | None | $2,454.71 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,698.24 | $2,454.71 | $2,454.71 |
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 $1,995.26 Median $2,089.30 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,089.30 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $870.96 Typical High $1,288.25 | Professional | None | $138.04 | $870.96 | $1,288.25 |
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 $2,137.96 Median $2,290.87 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,290.87 | $2,511.89 |
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 $1,819.70 Median $2,754.23 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,754.23 | $3,235.94 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $2,630.27 Typical High $5,495.41 | Professional | None | $1,479.11 | $2,630.27 | $5,495.41 |
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 $1,479.11 Median $1,737.80 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,737.80 | $2,951.21 |
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 $977.24 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $977.24 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $389.05 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,445.44 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $288.40 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $194.98 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,698.24 | $1,698.24 |
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 9.3 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
$912
AK $6,918TX $741
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.