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 $3,801.89 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,801.89 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,951.21 | $3,801.89 | $3,801.89 |
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 $3,388.44 Median $3,548.13 Typical High $4,570.88 | Professional | None | $3,388.44 | $3,548.13 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,778.28 Typical High $2,398.83 | Professional | None | $194.98 | $1,778.28 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $4,786.30 | Professional | None | $3,630.78 | $3,981.07 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Select Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $5,623.41 | Professional | None | $3,090.30 | $4,786.30 | $5,623.41 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,317.64 | Professional | None | $2,454.71 | $3,981.07 | $8,317.64 |
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 $2,454.71 Median $2,818.38 Typical High $5,011.87 | Professional | None | $2,454.71 | $2,818.38 | $5,011.87 |
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 $1,479.11 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,479.11 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $588.84 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,238.72 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,238.72 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $446.68 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,089.30 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $2,089.30 | $2,691.53 | $2,691.53 |
Where Utah sits
The same service costs 21.4 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
$1,820
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.