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 $524.81 Median $4,570.88 Typical High $9,120.11 | Facility | None | $524.81 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $524.81 Typical High $741.31 | Professional | None | $354.81 | $524.81 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $645.65 | Professional | None | $446.68 | $478.63 | $645.65 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $275.42 Typical High $354.81 | Professional | None | $204.17 | $275.42 | $354.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,022.64 Typical High $17,378.01 | Facility | None | $9,120.11 | $12,022.64 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $645.65 | Professional | None | $489.78 | $562.34 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $724.44 Typical High $1,096.48 | Facility | None | $371.54 | $724.44 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $758.58 | Professional | None | $407.38 | $660.69 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $1,148.15 | Professional | None | $316.23 | $549.54 | $1,148.15 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $13,803.84 Typical High $13,803.84 | Facility | None | $5,128.61 | $13,803.84 | $13,803.84 |
United Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $724.44 | Professional | None | $346.74 | $398.11 | $724.44 |
2 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 54 · Surgery only Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $295.12 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $275.42 | $363.08 | $363.08 |
Where Utah sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 51st of 51
$288
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.