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 $724.44 Median $3,162.28 Typical High $6,025.60 | Facility | None | $724.44 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $741.31 | Professional | None | $575.44 | $724.44 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $776.25 Typical High $794.33 | Facility | None | $758.58 | $776.25 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $933.25 | Professional | None | $660.69 | $660.69 | $933.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $389.05 Typical High $512.86 | Professional | None | $54.95 | $389.05 | $512.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $4,466.84 | Facility | None | $2,454.71 | $3,019.95 | $4,466.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $954.99 | Professional | None | $724.44 | $812.83 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $977.24 Typical High $1,148.15 | Professional | None | $602.56 | $977.24 | $1,148.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $416.87 Median $794.33 Typical High $1,949.84 | Professional | None | $416.87 | $794.33 | $1,949.84 |
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 $489.78 Median $575.44 Typical High $1,023.29 | Professional | None | $489.78 | $575.44 | $1,023.29 |
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 $288.40 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $288.40 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $114.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $426.58 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $87.10 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $398.11 | $501.19 | $501.19 |
Where Utah sits
The same service costs 5.5 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
$407
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.