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 $1,174.90 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,174.90 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,174.90 | Professional | None | $870.96 | $1,174.90 | $1,174.90 |
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 $1,047.13 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,148.15 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $549.54 Typical High $758.58 | Professional | None | $83.18 | $549.54 | $758.58 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,348.96 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,698.24 | Professional | None | $891.25 | $1,318.26 | $1,698.24 |
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 $851.14 Median $1,023.29 Typical High $1,905.46 | Professional | None | $851.14 | $1,023.29 | $1,905.46 |
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 $436.52 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $436.52 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $645.65 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $128.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $87.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $602.56 | $812.83 | $812.83 |
Where Utah sits
The same service costs 6.3 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
$589
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.