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 $1,122.02 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,122.02 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,122.02 | Professional | None | $812.83 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $19,952.62 Median $20,892.96 Typical High $20,892.96 | Facility | None | $19,952.62 | $20,892.96 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,479.11 | Professional | None | $912.01 | $1,071.52 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $501.19 Typical High $691.83 | Professional | None | $48.98 | $501.19 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $33,113.11 Median $41,686.94 Typical High $60,255.96 | Facility | None | $33,113.11 | $41,686.94 | $60,255.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,174.90 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $549.54 Median $1,202.26 Typical High $2,511.89 | Professional | None | $549.54 | $1,202.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $13,489.63 | Facility | None | $2,691.53 | $11,481.54 | $13,489.63 |
United Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,659.59 | Professional | None | $741.31 | $912.01 | $1,659.59 |
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 $407.38 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $407.38 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $162.18 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $602.56 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $120.23 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $81.28 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $562.34 | $794.33 | $794.33 |
Where Utah sits
The same service costs 6.8 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
$562
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.