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 $478.63 Median $2,951.21 Typical High $4,570.88 | Facility | None | $478.63 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | None | $457.09 | $524.81 | $645.65 |
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 $707.95 | Professional | None | $436.52 | $575.44 | $707.95 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $407.38 Typical High $537.03 | Professional | None | $26.92 | $407.38 | $537.03 |
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 $457.09 Median $676.08 Typical High $794.33 | Professional | None | $457.09 | $676.08 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $954.99 | Professional | None | $380.19 | $575.44 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $1,023.29 | Professional | None | $338.84 | $676.08 | $1,023.29 |
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 $338.84 Median $489.78 Typical High $776.25 | Professional | None | $338.84 | $489.78 | $776.25 |
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 $229.09 Median $263.03 Typical High $316.23 | Professional | 52 · Reduced service | $229.09 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $104.71 Typical High $128.82 | Professional | 53 · Discontinued | $91.20 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $389.05 Typical High $478.63 | Professional | 54 · Surgery only | $338.84 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $79.43 Typical High $95.50 | Professional | 55 · Aftercare only | $67.61 | $79.43 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $45.71 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $363.08 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $316.23 | $363.08 | $446.68 |
Where Utah sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 43rd of 51
$437
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.