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 $812.83 Median $3,162.28 Typical High $4,570.88 | Facility | None | $812.83 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $812.83 | Professional | None | $575.44 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,025.60 | Facility | None | $5,623.41 | $5,888.44 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,047.13 | Professional | None | $660.69 | $758.58 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $501.19 | Professional | None | $371.54 | $426.58 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $14,125.38 Median $19,054.61 Typical High $27,542.29 | Facility | None | $14,125.38 | $19,054.61 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,071.52 | Professional | None | $691.83 | $812.83 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $389.05 Median $812.83 Typical High $1,047.13 | Professional | None | $389.05 | $812.83 | $1,047.13 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,174.90 | Professional | None | $512.86 | $660.69 | $1,174.90 |
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 $288.40 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $288.40 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $114.82 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $426.58 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $85.11 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $57.54 | $81.28 | $81.28 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $21,379.62 Median $28,840.32 Typical High $41,686.94 | Facility | 50 · Both sides | $21,379.62 | $28,840.32 | $41,686.94 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in New York. 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
$589
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.