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 $954.99 Median $4,570.88 Typical High $12,022.64 | Facility | None | $954.99 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $954.99 | Professional | None | $741.31 | $954.99 | $954.99 |
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 $812.83 Median $851.14 Typical High $1,174.90 | Professional | None | $812.83 | $851.14 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $467.74 Typical High $602.56 | Professional | None | $54.95 | $467.74 | $602.56 |
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 $891.25 Median $1,000.00 Typical High $1,174.90 | Professional | None | $891.25 | $1,000.00 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $1,348.96 | Professional | None | $741.31 | $1,148.15 | $1,348.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $2,570.40 | Professional | None | $537.03 | $977.24 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,288.25 | Professional | None | $630.96 | $724.44 | $1,288.25 |
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 $363.08 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $363.08 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $537.03 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $107.15 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $72.44 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $501.19 | $676.08 | $676.08 |
Where Utah sits
The same service costs 6.3 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· 50th of 51
$479
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.