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 $1,778.28 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,778.28 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,412.54 | $1,778.28 | $1,778.28 |
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 $1,584.89 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,584.89 | $1,659.59 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $933.25 Typical High $1,230.27 | Professional | None | $109.65 | $933.25 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,238.72 | Professional | None | $1,698.24 | $1,949.84 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $2,691.53 | Professional | None | $1,445.44 | $2,290.87 | $2,691.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,905.46 | $2,630.27 |
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 $1,230.27 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,412.54 | $2,511.89 |
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 $707.95 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $707.95 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $141.25 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $977.24 | $1,258.93 | $1,258.93 |
Where Utah sits
The same service costs 5.2 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
$955
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.