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 $316.23 Median $3,162.28 Typical High $8,709.64 | Facility | None | $316.23 | $3,162.28 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $467.74 | Professional | None | $316.23 | $316.23 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $218.78 Typical High $223.87 | Facility | None | $208.93 | $218.78 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | None | $275.42 | $354.81 | $416.87 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $165.96 Typical High $239.88 | Professional | None | $28.18 | $165.96 | $239.88 |
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 $281.84 Median $389.05 Typical High $457.09 | Professional | None | $281.84 | $389.05 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $436.52 | Professional | None | $239.88 | $371.54 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $660.69 | Professional | None | $263.03 | $407.38 | $660.69 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $467.74 | Professional | None | $204.17 | $295.12 | $467.74 |
2 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 78 · Unplanned return to OR Typical Low $218.78 Median $223.87 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $218.78 | $223.87 | $331.13 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $4,897.79 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $4,897.79 | $7,244.36 |
Where Utah sits
The same service costs 5.0 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
$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.