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 $3,162.28 Median $6,025.60 Typical High $6,165.95 | Facility | None | $3,162.28 | $6,025.60 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $6,165.95 Typical High $6,165.95 | Professional | None | $4,570.88 | $6,165.95 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $5,754.40 Typical High $7,413.10 | Professional | None | $5,128.61 | $5,754.40 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $2,754.23 Typical High $3,715.35 | Professional | None | $295.12 | $2,754.23 | $3,715.35 |
Regence BlueShield Setting Professional Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $7,244.36 | Professional | None | $5,495.41 | $6,456.54 | $7,244.36 |
Select Health Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $4,677.35 Median $7,413.10 Typical High $8,709.64 | Professional | None | $4,677.35 | $7,413.10 | $8,709.64 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3,548.13 Median $6,309.57 Typical High $15,848.93 | Professional | None | $3,548.13 | $6,309.57 | $15,848.93 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $3,890.45 Median $4,677.35 Typical High $8,511.38 | Professional | None | $3,890.45 | $4,677.35 | $8,511.38 |
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 $2,290.87 Median $3,090.30 Typical High $3,090.30 | Professional | 52 · Reduced service | $2,290.87 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $912.01 Median $1,258.93 Typical High $1,258.93 | Professional | 53 · Discontinued | $912.01 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,467.37 Median $4,677.35 Typical High $4,677.35 | Professional | 54 · Surgery only | $3,467.37 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $933.25 Typical High $933.25 | Professional | 55 · Aftercare only | $691.83 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $457.09 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,235.94 Median $4,365.16 Typical High $4,365.16 | Professional | 78 · Unplanned return to OR | $3,235.94 | $4,365.16 | $4,365.16 |
Where Utah sits
The same service costs 21.9 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
$2,818
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.