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 $467.74 Median $3,388.44 Typical High $6,025.60 | Facility | None | $467.74 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $645.65 | Professional | None | $457.09 | $467.74 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,479.11 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $891.25 | Professional | None | $562.34 | $575.44 | $891.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $309.03 Typical High $478.63 | Professional | None | $54.95 | $309.03 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,888.44 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $851.14 | Professional | None | $630.96 | $741.31 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $954.99 | Professional | None | $363.08 | $691.83 | $954.99 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $1,023.29 | Professional | None | $457.09 | $524.81 | $1,023.29 |
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 $229.09 Median $234.42 Typical High $245.47 | Professional | 52 · Reduced service | $229.09 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $97.72 | Professional | 53 · Discontinued | $91.20 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | 54 · Surgery only | $346.74 | $346.74 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $46.77 Typical High $48.98 | Professional | 56 · Pre-op care only | $45.71 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $346.74 |
Where Utah sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 51st of 51
$372
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.