How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,042 to $15,849Professionalmedian $832 · 10th to 90th $87 to $1,445
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 $2,041.74 Median $4,570.88 Typical High $9,772.37 | Facility | None | $2,041.74 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,737.80 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,949.84 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,659.59 | $1,659.59 | $2,137.96 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $794.33 Typical High $1,174.90 | Professional | None | $85.11 | $794.33 | $1,174.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,949.84 | $2,041.74 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $2,951.21 | Professional | None | $1,621.81 | $2,511.89 | $2,951.21 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,258.93 | $2,398.83 | $3,388.44 |
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 $1,071.52 Median $1,513.56 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,513.56 | $2,630.27 |
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 $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $870.96 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $346.74 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,318.26 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $173.78 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,445.44 | $1,445.44 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,488.17 Median $19,498.45 Typical High $28,183.83 | Facility | 50 · Both sides | $15,488.17 | $19,498.45 | $28,183.83 |
Where Utah sits
The same service costs 8.5 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
$832
AK $6,166TX $724
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.