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 $676.08 Median $3,388.44 Typical High $6,025.60 | Facility | None | $676.08 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $741.31 | Professional | None | $575.44 | $676.08 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,737.80 | Facility | None | $1,621.81 | $1,698.24 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Professional | None | $616.60 | $616.60 | $933.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $426.58 Typical High $562.34 | Professional | None | $54.95 | $426.58 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,466.84 Median $5,623.41 Typical High $8,128.31 | Facility | None | $4,466.84 | $5,623.41 | $8,128.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $977.24 | Professional | None | $724.44 | $812.83 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,174.90 | Professional | None | $616.60 | $1,000.00 | $1,174.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $426.58 Median $831.76 Typical High $1,174.90 | Professional | None | $426.58 | $831.76 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $1,023.29 | Professional | None | $489.78 | $575.44 | $1,023.29 |
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 $288.40 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $288.40 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $134.90 Typical High $134.90 | Professional | 53 · Discontinued | $117.49 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $436.52 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $87.10 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $57.54 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $407.38 | $467.74 | $467.74 |
Where Utah sits
The same service costs 5.5 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
$447
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.