How much rates vary
Facilitymedian $10,000 · 10th to 90th $1,738 to $27,542Professionalmedian $724 · 10th to 90th $117 to $1,259
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 $1,737.80 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,737.80 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $10,000.00 Median $10,471.29 Typical High $10,715.19 | Facility | None | $10,000.00 | $10,471.29 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,479.11 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $691.83 Typical High $1,000.00 | Professional | None | $114.82 | $691.83 | $1,000.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $26,302.68 Typical High $38,904.51 | Facility | None | $21,379.62 | $26,302.68 | $38,904.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,737.80 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,380.38 | $1,995.26 | $2,344.23 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,096.48 Median $2,089.30 Typical High $4,897.79 | Professional | None | $1,096.48 | $2,089.30 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $13,489.63 Typical High $15,848.93 | Facility | None | $2,398.83 | $13,489.63 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,288.25 | $2,187.76 |
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 $741.31 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $741.31 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $295.12 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,122.02 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | 55 · Aftercare only | $223.87 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,230.27 | $1,230.27 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $31,622.78 Median $39,810.72 Typical High $57,543.99 | Facility | 50 · Both sides | $31,622.78 | $39,810.72 | $57,543.99 |
Where Utah sits
The same service costs 7.4 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
$741
AK $5,248TX $708
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.