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 $1,288.25 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,288.25 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,288.25 | Professional | None | $912.01 | $1,288.25 | $1,288.25 |
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 $1,047.13 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,174.90 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $588.84 Typical High $776.25 | Professional | None | $54.95 | $588.84 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,318.26 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $691.83 Median $1,380.38 Typical High $3,090.30 | Professional | None | $691.83 | $1,380.38 | $3,090.30 |
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 $831.76 Median $1,023.29 Typical High $1,862.09 | Professional | None | $831.76 | $1,023.29 | $1,862.09 |
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 $457.09 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $457.09 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $691.83 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $138.04 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $645.65 | $891.25 | $891.25 |
Where Utah sits
The same service costs 5.8 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
$631
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.