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 $1,023.29 Median $4,570.88 Typical High $12,022.64 | Facility | None | $1,023.29 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | None | $794.33 | $1,023.29 | $1,023.29 |
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 $891.25 Median $954.99 Typical High $1,288.25 | Professional | None | $891.25 | $954.99 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $537.03 Typical High $691.83 | Professional | None | $54.95 | $537.03 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,288.25 | Professional | None | $977.24 | $1,122.02 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,348.96 Typical High $1,584.89 | Professional | None | $831.76 | $1,348.96 | $1,584.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $645.65 Median $1,122.02 Typical High $3,981.07 | Professional | None | $645.65 | $1,122.02 | $3,981.07 |
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 $691.83 Median $794.33 Typical High $1,445.44 | Professional | None | $691.83 | $794.33 | $1,445.44 |
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 $398.11 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $602.56 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $120.23 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $562.34 | $707.95 | $707.95 |
Where Utah sits
The same service costs 5.9 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
$550
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.