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 $537.03 Median $3,162.28 Typical High $8,511.38 | Facility | None | $537.03 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,122.02 Typical High $2,089.30 | Professional | None | $346.74 | $1,122.02 | $2,089.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $616.60 Typical High $1,548.82 | Professional | 54 · Surgery only | $398.11 | $616.60 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $123.03 Typical High $309.03 | Professional | 55 · Aftercare only | $81.28 | $123.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $83.18 Typical High $208.93 | Professional | 56 · Pre-op care only | $53.70 | $83.18 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,862.09 | $1,905.46 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $1,445.44 Typical High $1,995.26 | Professional | None | $398.11 | $1,445.44 | $1,995.26 |
Molina Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $2,754.23 | Professional | None | $630.96 | $1,023.29 | $2,754.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $6,456.54 Typical High $9,332.54 | Facility | None | $5,248.07 | $6,456.54 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $363.08 Median $933.25 Typical High $2,754.23 | Professional | None | $363.08 | $933.25 | $2,754.23 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $281.84 Median $1,412.54 Typical High $2,290.87 | Professional | None | $281.84 | $1,412.54 | $2,290.87 |
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 $288.40 Median $954.99 Typical High $2,089.30 | Professional | None | $288.40 | $954.99 | $2,089.30 |
1 more rate 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 |
|---|---|---|---|---|---|
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $7,762.47 Median $9,772.37 Typical High $14,125.38 | Facility | 50 · Both sides | $7,762.47 | $9,772.37 | $14,125.38 |
Where Utah sits
The same service costs 4.8 times more in Alaska than in Nebraska. 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· 11th of 51
$1,585
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.