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 $562.34 Median $4,570.88 Typical High $9,120.11 | Facility | None | $562.34 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $794.33 | Professional | None | $416.87 | $562.34 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $512.86 Typical High $691.83 | Professional | None | $478.63 | $512.86 | $691.83 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $389.05 | Professional | None | $204.17 | $295.12 | $389.05 |
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 $524.81 Median $602.56 Typical High $676.08 | Professional | None | $524.81 | $602.56 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $1,174.90 | Facility | None | $389.05 | $776.25 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $812.83 | Professional | None | $436.52 | $691.83 | $812.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $1,258.93 | Professional | None | $338.84 | $588.84 | $1,258.93 |
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 $371.54 Median $426.58 Typical High $758.58 | Professional | None | $371.54 | $426.58 | $758.58 |
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 $316.23 Median $416.87 Typical High $416.87 | Professional | 54 · Surgery only | $316.23 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $295.12 | $389.05 | $389.05 |
Where Utah sits
The same service costs 4.4 times more in Alaska 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
$302
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.