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 $1,096.48 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,096.48 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,096.48 | Professional | None | $831.76 | $1,096.48 | $1,096.48 |
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 $851.14 Median $954.99 Typical High $1,047.13 | Professional | None | $851.14 | $954.99 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $407.38 Typical High $575.44 | Professional | None | $97.72 | $407.38 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $9,772.37 | Facility | None | $5,128.61 | $6,760.83 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,071.52 | Professional | None | $912.01 | $954.99 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,412.54 | Professional | None | $776.25 | $1,202.26 | $1,412.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,659.59 | Professional | None | $645.65 | $1,174.90 | $1,659.59 |
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 $588.84 Median $741.31 Typical High $1,230.27 | Professional | None | $588.84 | $741.31 | $1,230.27 |
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 $416.87 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $630.96 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $588.84 | $758.58 | $758.58 |
Where Utah sits
The same service costs 6.6 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
$447
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.