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 $2,398.83 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,398.83 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,659.59 | $2,398.83 | $2,398.83 |
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 $1,995.26 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,995.26 | $2,041.74 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $851.14 Typical High $1,258.93 | Professional | None | $138.04 | $851.14 | $1,258.93 |
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 $2,089.30 Median $2,238.72 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,238.72 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,691.53 | $3,162.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,479.11 | $2,691.53 | $4,073.80 |
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 $1,412.54 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,412.54 | $1,698.24 | $2,884.03 |
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 $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,412.54 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $288.40 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $190.55 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,659.59 | $1,659.59 |
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 7.8 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
$912
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.