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 $2,137.96 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,137.96 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,698.24 | $2,137.96 | $2,137.96 |
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 $1,905.46 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,905.46 | $1,995.26 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $1,023.29 Typical High $1,412.54 | Professional | None | $109.65 | $1,023.29 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,398.83 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,754.23 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,754.23 | $3,311.31 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $5,888.44 | Professional | None | $1,380.38 | $2,344.23 | $5,888.44 |
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 $1,479.11 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,698.24 | $3,090.30 |
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 $851.14 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $851.14 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $338.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,288.25 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $257.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,513.56 | $1,513.56 |
Where Utah sits
The same service costs 20.4 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
$1,072
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.