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 $251.19 Median $2,951.21 Typical High $4,570.88 | Facility | None | $251.19 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $257.04 Typical High $371.54 | Professional | None | $251.19 | $257.04 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $891.25 | Facility | None | $851.14 | $870.96 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $323.59 | Professional | None | $213.80 | $295.12 | $323.59 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $190.55 Typical High $257.04 | Professional | None | $26.30 | $190.55 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,570.40 | $3,311.31 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $398.11 | Professional | None | $223.87 | $338.84 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $331.13 | Professional | None | $186.21 | $281.84 | $331.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $588.84 | Professional | None | $223.87 | $354.81 | $588.84 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $380.19 | Professional | None | $162.18 | $245.47 | $380.19 |
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 $125.89 Median $125.89 Typical High $186.21 | Professional | 52 · Reduced service | $125.89 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $74.13 | Professional | 53 · Discontinued | $50.12 | $50.12 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | 54 · Surgery only | $190.55 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $56.23 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $177.83 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $177.83 | $177.83 | $257.04 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $5,011.87 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $5,011.87 | $7,244.36 |
Where Utah sits
The same service costs 4.1 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· 49th of 51
$214
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.