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 $1,318.26 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,318.26 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,318.26 Typical High $1,318.26 | Professional | None | $954.99 | $1,318.26 | $1,318.26 |
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 $1,071.52 Median $1,230.27 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,230.27 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $616.60 Typical High $812.83 | Professional | None | $54.95 | $616.60 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,348.96 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $3,090.30 | Professional | None | $724.44 | $1,412.54 | $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 $851.14 Median $1,071.52 Typical High $1,905.46 | Professional | None | $851.14 | $1,071.52 | $1,905.46 |
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 $467.74 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $467.74 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $190.55 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $707.95 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $141.25 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $95.50 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $660.69 | $912.01 | $912.01 |
Where Utah sits
The same service costs 5.6 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
$661
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.