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 $602.56 Median $3,388.44 Typical High $6,025.60 | Facility | None | $602.56 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $602.56 | Professional | None | $436.52 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,949.84 | $2,041.74 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $794.33 | Professional | None | $489.78 | $562.34 | $794.33 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $389.05 | Professional | None | $229.09 | $309.03 | $389.05 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $7,079.46 Typical High $10,232.93 | Facility | None | $5,623.41 | $7,079.46 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $794.33 | Professional | None | $537.03 | $630.96 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $295.12 Median $645.65 Typical High $794.33 | Professional | None | $295.12 | $645.65 | $794.33 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $870.96 | Professional | None | $398.11 | $489.78 | $870.96 |
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 $218.78 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $323.59 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $64.57 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $43.65 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $426.58 | $426.58 |
Where Utah sits
The same service costs 8.9 times more in Oklahoma 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
$331
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.