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 $3,801.89 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,801.89 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $2,511.89 | $3,801.89 | $3,801.89 |
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 $3,090.30 Median $3,235.94 Typical High $5,888.44 | Professional | None | $3,090.30 | $3,235.94 | $5,888.44 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $1,584.89 Typical High $2,238.72 | Professional | None | $218.78 | $1,584.89 | $2,238.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $7,943.28 | Professional | None | $4,265.80 | $5,011.87 | $7,943.28 |
Select Health Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $8,709.64 | Professional | None | $2,290.87 | $4,466.84 | $8,709.64 |
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 $2,511.89 Median $2,951.21 Typical High $5,495.41 | Professional | None | $2,511.89 | $2,951.21 | $5,495.41 |
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 $1,380.38 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,380.38 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $549.54 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,089.30 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $416.87 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $275.42 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,691.53 | $2,691.53 |
Where Utah sits
The same service costs 17.0 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
$1,738
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.