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 $3,162.28 Median $6,025.60 Typical High $6,760.83 | Facility | None | $3,162.28 | $6,025.60 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $6,760.83 Typical High $6,760.83 | Professional | None | $4,365.16 | $6,760.83 | $6,760.83 |
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 $4,786.30 Median $5,888.44 Typical High $8,709.64 | Professional | None | $4,786.30 | $5,888.44 | $8,709.64 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | None | $30.20 | $44.67 | $60.26 |
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 $5,495.41 Median $5,888.44 Typical High $6,456.54 | Professional | None | $5,495.41 | $5,888.44 | $6,456.54 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $8,912.51 | Professional | None | $5,370.32 | $6,165.95 | $8,912.51 |
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 $3,890.45 Median $4,570.88 Typical High $8,128.31 | Professional | None | $3,890.45 | $4,570.88 | $8,128.31 |
5 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 $2,187.76 Median $3,388.44 Typical High $3,388.44 | Professional | 52 · Reduced service | $2,187.76 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $1,380.38 Typical High $1,380.38 | Professional | 53 · Discontinued | $870.96 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $5,128.61 Typical High $5,128.61 | Professional | 54 · Surgery only | $3,235.94 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $645.65 Median $1,023.29 Typical High $1,023.29 | Professional | 55 · Aftercare only | $645.65 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $676.08 Typical High $676.08 | Professional | 56 · Pre-op care only | $436.52 | $676.08 | $676.08 |
Where Utah sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 16th of 51
$5,754
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.