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 $630.96 Median $3,162.28 Typical High $4,570.88 | Facility | None | $630.96 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $630.96 | Professional | None | $478.63 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,548.13 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $776.25 | Professional | None | $575.44 | $616.60 | $776.25 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $436.52 | Professional | None | $316.23 | $363.08 | $436.52 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $776.25 | Professional | None | $616.60 | $660.69 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $870.96 | Professional | None | $524.81 | $724.44 | $870.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $354.81 Median $645.65 Typical High $977.24 | Professional | None | $354.81 | $645.65 | $977.24 |
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 $426.58 Median $501.19 Typical High $870.96 | Professional | None | $426.58 | $501.19 | $870.96 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $371.54 | $467.74 | $467.74 |
Where Utah sits
The same service costs 4.6 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
$427
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.