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 $2,041.74 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,041.74 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,479.11 | $2,041.74 | $2,041.74 |
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 $1,659.59 Median $1,862.09 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,862.09 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $1,023.29 Typical High $1,318.26 | Professional | None | $109.65 | $1,023.29 | $1,318.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,398.83 | Professional | None | $1,819.70 | $2,089.30 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,511.89 Typical High $2,951.21 | Professional | None | $1,548.82 | $2,511.89 | $2,951.21 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,258.93 | $2,089.30 | $3,019.95 |
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 $1,318.26 Median $1,513.56 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,513.56 | $2,754.23 |
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 $741.31 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $741.31 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $295.12 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,122.02 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $223.87 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $147.91 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,412.54 | $1,412.54 |
Where Utah sits
The same service costs 5.0 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
$1,047
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.