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 $537.03 Median $3,162.28 Typical High $4,570.88 | Facility | None | $537.03 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $537.03 | Professional | None | $416.87 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $154.88 Typical High $154.88 | Facility | None | $147.91 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $660.69 | Professional | None | $478.63 | $489.78 | $660.69 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $281.84 Typical High $354.81 | Professional | None | $33.88 | $281.84 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $691.83 | Facility | None | $380.19 | $478.63 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $676.08 | Professional | None | $524.81 | $588.84 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $758.58 | Professional | None | $436.52 | $645.65 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $794.33 | Professional | None | $275.42 | $537.03 | $794.33 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $741.31 | Professional | None | $354.81 | $407.38 | $741.31 |
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 $208.93 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $208.93 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $316.23 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $41.69 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $295.12 | $371.54 | $371.54 |
Where Utah sits
The same service costs 4.2 times more in Wyoming 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
$309
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.