How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,344 to $15,849Professionalmedian $912 · 10th to 90th $141 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 $8,912.51 | Facility | None | $2,344.23 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,584.89 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,041.74 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $851.14 Typical High $1,258.93 | Professional | None | $138.04 | $851.14 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $11,481.54 | $14,791.08 | $21,379.62 |
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 $1,778.28 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,691.53 | $3,162.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,513.56 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,513.56 | $2,630.27 | $3,981.07 |
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 $1,380.38 Median $1,659.59 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,659.59 | $2,884.03 |
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 $380.19 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $380.19 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $1,412.54 | $1,737.80 | $1,737.80 |
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 $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,877.62 Typical High $32,359.37 | Facility | 50 · Both sides | $16,982.44 | $21,877.62 | $32,359.37 |
Where Utah sits
The same service costs 7.8 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 $6,761TX $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.