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 $1,071.52 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,071.52 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $776.25 | $1,071.52 | $1,071.52 |
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 $891.25 Median $1,000.00 Typical High $1,412.54 | Professional | None | $891.25 | $1,000.00 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $501.19 Typical High $660.69 | Professional | None | $48.98 | $501.19 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,445.44 | Professional | None | $954.99 | $1,122.02 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,513.56 | Professional | None | $741.31 | $1,174.90 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,584.89 | Professional | None | $707.95 | $891.25 | $1,584.89 |
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 $389.05 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $389.05 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $154.88 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $588.84 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $77.62 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $549.54 | $741.31 | $741.31 |
Where Utah sits
The same service costs 5.9 times more in Alaska than in Texas. 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
$537
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.