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 $1,148.15 Median $6,456.54 Typical High $44,668.36 | Facility | None | $1,148.15 | $6,456.54 | $44,668.36 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | None | $954.99 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,128.31 | Facility | None | $7,762.47 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,174.90 | Professional | None | $954.99 | $977.24 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $436.52 Typical High $630.96 | Professional | None | $56.23 | $436.52 | $630.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $20,417.38 Median $23,988.33 Typical High $54,954.09 | Facility | None | $20,417.38 | $23,988.33 | $54,954.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,122.02 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,621.81 | Professional | None | $891.25 | $1,380.38 | $1,621.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,089.30 | Professional | None | $724.44 | $1,258.93 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $12,589.25 Typical High $28,183.83 | Facility | None | $1,698.24 | $12,589.25 | $28,183.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,412.54 | Professional | None | $691.83 | $812.83 | $1,412.54 |
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 $467.74 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $707.95 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $141.25 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $660.69 | $794.33 | $794.33 |
Where Utah sits
The same service costs 16.2 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
$457
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.