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 $891.25 Median $4,570.88 Typical High $8,912.51 | Facility | None | $891.25 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $891.25 Typical High $891.25 | Professional | None | $645.65 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,311.31 | Facility | None | $3,090.30 | $3,235.94 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,174.90 | Professional | None | $741.31 | $851.14 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Professional | None | $331.13 | $446.68 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $10,471.29 Typical High $15,135.61 | Facility | None | $7,943.28 | $10,471.29 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,174.90 | Professional | None | $794.33 | $933.25 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $436.52 Median $954.99 Typical High $1,548.82 | Professional | None | $436.52 | $954.99 | $1,548.82 |
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 $588.84 Median $724.44 Typical High $1,318.26 | Professional | None | $588.84 | $724.44 | $1,318.26 |
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 $323.59 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $323.59 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $128.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $489.78 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $97.72 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $457.09 | $630.96 | $630.96 |
Where Utah sits
The same service costs 5.4 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
$479
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.