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 $602.56 Median $4,570.88 Typical High $9,772.37 | Facility | None | $602.56 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $602.56 | Professional | None | $416.87 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $5,370.32 Typical High $5,495.41 | Facility | None | $5,248.07 | $5,370.32 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $660.69 | Professional | None | $467.74 | $562.34 | $660.69 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $371.54 | Professional | None | $269.15 | $309.03 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,120.11 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $660.69 | Professional | None | $501.19 | $562.34 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $776.25 | Professional | None | $426.58 | $660.69 | $776.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $831.76 | Professional | None | $346.74 | $549.54 | $831.76 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $776.25 | Professional | None | $363.08 | $426.58 | $776.25 |
5 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 $208.93 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $309.03 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $61.66 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $60.26 | $60.26 |
Where Utah sits
The same service costs 4.5 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
$363
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.