How much rates vary
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 $2,290.87 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,290.87 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,964.78 Typical High $11,220.18 | Facility | None | $10,471.29 | $10,964.78 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,905.46 | $1,949.84 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $851.14 Typical High $1,230.27 | Professional | None | $109.65 | $851.14 | $1,230.27 |
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 $2,041.74 Median $2,187.76 Typical High $2,398.83 | Professional | None | $2,041.74 | $2,187.76 | $2,398.83 |
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 $1,412.54 Median $2,630.27 Typical High $5,011.87 | Professional | None | $1,412.54 | $2,630.27 | $5,011.87 |
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 |
6 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 $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $933.25 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $371.54 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,380.38 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $186.21 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,584.89 | $1,584.89 |
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
$871
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.