How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,259 to $15,849Professionalmedian $501 · 10th to 90th $59 to $871
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 $1,258.93 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,258.93 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,023.29 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,370.32 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,071.52 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $478.63 Typical High $707.95 | Professional | None | $56.23 | $478.63 | $707.95 |
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 $1,148.15 Median $1,202.26 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,202.26 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,479.11 Typical High $1,737.80 | Professional | None | $954.99 | $1,479.11 | $1,737.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $2,818.38 | Professional | None | $812.83 | $1,445.44 | $2,818.38 |
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 $758.58 Median $912.01 Typical High $1,513.56 | Professional | None | $758.58 | $912.01 | $1,513.56 |
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 $512.86 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $512.86 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $776.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $724.44 | $870.96 | $870.96 |
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 13.8 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
$501
AK $3,631TX $263
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.