How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,698 to $15,849Professionalmedian $661 · 10th to 90th $87 to $1,202
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 $1,698.24 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,698.24 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,495.41 | $5,754.40 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $1,737.80 | Professional | None | $1,445.44 | $1,479.11 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $630.96 Typical High $954.99 | Professional | None | $85.11 | $630.96 | $954.99 |
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 $1,548.82 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,621.81 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,995.26 | $2,344.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,071.52 Median $1,949.84 Typical High $3,630.78 | Professional | None | $1,071.52 | $1,949.84 | $3,630.78 |
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 $1,023.29 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,230.27 | $2,089.30 |
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 $691.83 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $691.83 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,047.13 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $208.93 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $138.04 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $977.24 | $1,202.26 | $1,202.26 |
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 8.7 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
$661
AK $5,012TX $575
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.