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 $165.96 Median $281.84 Typical High $4,570.88 | Facility | None | $165.96 | $281.84 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $363.08 | Professional | None | $165.96 | $234.42 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $354.81 Typical High $363.08 | Facility | None | $331.13 | $354.81 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $245.47 Typical High $416.87 | Professional | None | $147.91 | $245.47 | $416.87 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $251.19 Typical High $346.74 | Professional | None | $26.92 | $251.19 | $346.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,445.44 | $1,862.09 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $234.42 Median $371.54 Typical High $457.09 | Professional | None | $234.42 | $371.54 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $346.74 Typical High $616.60 | Professional | None | $194.98 | $346.74 | $616.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $588.84 | Professional | None | $190.55 | $338.84 | $588.84 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $436.52 | Professional | None | $141.25 | $229.09 | $436.52 |
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 $83.18 Median $141.25 Typical High $165.96 | Professional | 52 · Reduced service | $83.18 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $56.23 Typical High $66.07 | Professional | 53 · Discontinued | $33.11 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $213.80 Typical High $245.47 | Professional | 54 · Surgery only | $123.03 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $42.66 Typical High $48.98 | Professional | 55 · Aftercare only | $24.55 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $28.18 Typical High $33.11 | Professional | 56 · Pre-op care only | $16.60 | $28.18 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $199.53 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $114.82 | $199.53 | $229.09 |
Where Utah sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 35th of 51
$257
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.