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 $416.87 Median $3,162.28 Typical High $4,570.88 | Facility | None | $416.87 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $436.52 | Professional | None | $331.13 | $416.87 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None | $380.19 | $380.19 | $537.03 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $257.04 Typical High $323.59 | Professional | None | $204.17 | $257.04 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $5,495.41 | Facility | None | $3,019.95 | $3,801.89 | $5,495.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $562.34 | Professional | None | $426.58 | $478.63 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $588.84 Typical High $691.83 | Professional | None | $354.81 | $588.84 | $691.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $691.83 | Professional | None | $269.15 | $489.78 | $691.83 |
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 $288.40 Median $331.13 Typical High $602.56 | Professional | None | $288.40 | $331.13 | $602.56 |
1 more rate 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 78 · Unplanned return to OR Typical Low $234.42 Median $295.12 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $234.42 | $295.12 | $295.12 |
Where Utah sits
The same service costs 5.2 times more in Alaska 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
$263
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.