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 $1,479.11 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,479.11 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,202.26 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,258.93 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $549.54 Typical High $812.83 | Professional | None | $56.23 | $549.54 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $11,481.54 | $14,791.08 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,412.54 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,737.80 | $2,041.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $954.99 Median $1,737.80 Typical High $2,818.38 | Professional | None | $954.99 | $1,737.80 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $7,244.36 Typical High $15,848.93 | Facility | None | $2,398.83 | $7,244.36 | $15,848.93 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,819.70 | Professional | None | $891.25 | $1,071.52 | $1,819.70 |
5 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 54 · Surgery only Typical Low $912.01 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $912.01 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $120.23 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $851.14 | $1,023.29 | $1,023.29 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,877.62 Typical High $32,359.37 | Facility | 50 · Both sides | $16,982.44 | $21,877.62 | $32,359.37 |
Where Utah sits
The same service costs 7.6 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
$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.