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 $2,089.30 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,089.30 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,479.11 | $2,089.30 | $2,089.30 |
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 $1,659.59 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,659.59 | $1,949.84 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $933.25 Typical High $1,230.27 | Professional | None | $83.18 | $933.25 | $1,230.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,819.70 | $2,137.96 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $4,786.30 | Professional | None | $1,122.02 | $2,187.76 | $4,786.30 |
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 $1,348.96 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,348.96 | $1,698.24 | $3,019.95 |
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 $741.31 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $741.31 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $295.12 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,122.02 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $223.87 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $147.91 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,445.44 | $1,445.44 |
Where Utah sits
The same service costs 5.9 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
$1,000
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.