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 $691.83 Median $3,388.44 Typical High $6,025.60 | Facility | None | $691.83 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | None | $602.56 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,122.02 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | None | $588.84 | $588.84 | $724.44 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $281.84 Typical High $407.38 | Professional | None | $56.23 | $281.84 | $407.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,888.44 | Facility | None | $3,162.28 | $3,981.07 | $5,888.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $676.08 Median $707.95 Typical High $794.33 | Professional | None | $676.08 | $707.95 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,047.13 | Professional | None | $562.34 | $891.25 | $1,047.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $1,230.27 | Professional | None | $457.09 | $794.33 | $1,230.27 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $891.25 | Professional | None | $426.58 | $512.86 | $891.25 |
3 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 54 · Surgery only Typical Low $446.68 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $446.68 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $416.87 | $489.78 | $489.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,786.30 Median $6,025.60 Typical High $8,709.64 | Facility | 50 · Both sides | $4,786.30 | $6,025.60 | $8,709.64 |
Where Utah sits
The same service costs 8.1 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· 50th of 51
$302
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.