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 $741.31 Median $4,570.88 Typical High $9,772.37 | Facility | None | $741.31 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $741.31 | Professional | None | $562.34 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $2,754.23 | Facility | None | $2,630.27 | $2,691.53 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,096.48 | Professional | None | $676.08 | $724.44 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $363.08 Typical High $501.19 | Professional | None | $54.95 | $363.08 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $10,232.93 Typical High $14,791.08 | Facility | None | $7,943.28 | $10,232.93 | $14,791.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,000.00 | Professional | None | $741.31 | $870.96 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $398.11 Median $870.96 Typical High $1,071.52 | Professional | None | $398.11 | $870.96 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,202.26 | Professional | None | $549.54 | $645.65 | $1,202.26 |
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 $281.84 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $281.84 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 53 · Discontinued | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $416.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $389.05 | $512.86 | $512.86 |
Where Utah sits
The same service costs 6.9 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
$398
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.