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 $416.87 Median $3,162.28 Typical High $8,511.38 | Facility | None | $416.87 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $457.09 | Professional | None | $295.12 | $416.87 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,023.29 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $436.52 | Professional | None | $363.08 | $389.05 | $436.52 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $165.96 Typical High $257.04 | Professional | None | $28.18 | $165.96 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,786.30 | Facility | None | $2,511.89 | $3,311.31 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $478.63 | Professional | None | $354.81 | $416.87 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $512.86 | Professional | None | $302.00 | $436.52 | $512.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $269.15 Median $457.09 Typical High $691.83 | Professional | None | $269.15 | $457.09 | $691.83 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $512.86 | Professional | None | $251.19 | $302.00 | $512.86 |
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 $158.49 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $158.49 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $64.57 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $239.88 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $47.86 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $32.36 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $223.87 | $295.12 | $323.59 |
Where Utah sits
The same service costs 6.8 times more in Alaska than in Utah. 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· 51st of 51
$191
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.