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 $691.83 Median $4,570.88 Typical High $9,120.11 | Facility | None | $691.83 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $691.83 | Professional | None | $512.86 | $691.83 | $691.83 |
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 $645.65 Median $691.83 Typical High $1,047.13 | Professional | None | $645.65 | $691.83 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $354.81 Typical High $478.63 | Professional | None | $54.95 | $354.81 | $478.63 |
Regence BlueShield Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $954.99 | Professional | None | $691.83 | $831.76 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,000.00 | Professional | None | $537.03 | $831.76 | $1,000.00 |
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 $512.86 Median $602.56 Typical High $1,122.02 | Professional | None | $512.86 | $602.56 | $1,122.02 |
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 $257.04 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $257.04 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $389.05 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $77.62 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $51.29 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $478.63 | $478.63 |
Where Utah sits
The same service costs 6.0 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
$372
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.