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 $489.78 Median $2,884.03 Typical High $4,786.30 | Facility | None | $489.78 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $660.69 | Professional | None | $426.58 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,698.24 | $1,737.80 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $724.44 | Professional | None | $436.52 | $575.44 | $724.44 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $389.05 Typical High $512.86 | Professional | None | $26.92 | $389.05 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,011.87 Median $6,606.93 Typical High $9,772.37 | Facility | None | $5,011.87 | $6,606.93 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $776.25 | Professional | None | $467.74 | $645.65 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $691.83 | Professional | None | $398.11 | $616.60 | $691.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $1,000.00 | Professional | None | $363.08 | $645.65 | $1,000.00 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $758.58 | Professional | None | $354.81 | $489.78 | $758.58 |
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 $213.80 Median $263.03 Typical High $331.13 | Professional | 52 · Reduced service | $213.80 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $85.11 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $398.11 Typical High $489.78 | Professional | 54 · Surgery only | $316.23 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $100.00 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | 56 · Pre-op care only | $42.66 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $371.54 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $295.12 | $371.54 | $457.09 |
Where Utah sits
The same service costs 4.4 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· 49th of 51
$447
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.