How much rates vary
Facilitymedian $11,220 · 10th to 90th $2,344 to $33,884Professionalmedian $871 · 10th to 90th $112 to $1,585
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 $2,344.23 Median $4,570.88 Typical High $12,302.69 | Facility | None | $2,344.23 | $4,570.88 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $11,220.18 Typical High $11,481.54 | Facility | None | $10,715.19 | $11,220.18 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,344.23 | Professional | None | $1,949.84 | $2,041.74 | $2,344.23 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $851.14 Typical High $1,258.93 | Professional | None | $109.65 | $851.14 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,302.68 Median $32,359.37 Typical High $47,863.01 | Facility | None | $26,302.68 | $32,359.37 | $47,863.01 |
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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,737.80 | $2,630.27 | $3,090.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,511.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
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 $933.25 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $933.25 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $371.54 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,412.54 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $186.21 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $38,904.51 Median $48,977.88 Typical High $70,794.58 | Facility | 50 · Both sides | $38,904.51 | $48,977.88 | $70,794.58 |
Where Utah sits
The same service costs 17.0 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 $6,607TX $389
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.