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 $134.90 Median $2,951.21 Typical High $4,570.88 | Facility | None | $134.90 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $251.19 Typical High $295.12 | Professional | None | $134.90 | $251.19 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $251.19 Typical High $257.04 | Facility | None | $239.88 | $251.19 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $426.58 | Professional | None | $141.25 | $257.04 | $426.58 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $162.18 Typical High $223.87 | Professional | None | $26.30 | $162.18 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,513.56 | Facility | None | $831.76 | $1,071.52 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $398.11 | Professional | None | $154.88 | $251.19 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $147.91 Median $263.03 Typical High $478.63 | Professional | None | $147.91 | $263.03 | $478.63 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $457.09 | Professional | None | $117.49 | $223.87 | $457.09 |
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 $67.61 Median $109.65 Typical High $144.54 | Professional | 52 · Reduced service | $67.61 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $43.65 Typical High $57.54 | Professional | 53 · Discontinued | $26.92 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $165.96 Typical High $213.80 | Professional | 54 · Surgery only | $102.33 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $33.11 Typical High $42.66 | Professional | 55 · Aftercare only | $20.42 | $33.11 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $21.88 Typical High $28.84 | Professional | 56 · Pre-op care only | $13.49 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $154.88 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $95.50 | $154.88 | $199.53 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in Kentucky. 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· 49th of 51
$182
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.