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 $3,235.94 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,235.94 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $3,235.94 Typical High $3,235.94 | Professional | None | $2,344.23 | $3,235.94 | $3,235.94 |
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 $2,630.27 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,630.27 | $2,754.23 | $4,265.80 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,348.96 Typical High $1,905.46 | Professional | None | $169.82 | $1,348.96 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $5,623.41 | Professional | None | $3,630.78 | $3,890.45 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,778.28 Median $3,715.35 Typical High $7,762.47 | Professional | None | $1,778.28 | $3,715.35 | $7,762.47 |
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 $2,089.30 Median $2,511.89 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,511.89 | $4,677.35 |
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 $1,174.90 Median $1,621.81 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,174.90 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $645.65 Typical High $645.65 | Professional | 53 · Discontinued | $467.74 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,737.80 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $489.78 Typical High $489.78 | Professional | 55 · Aftercare only | $346.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $323.59 Typical High $323.59 | Professional | 56 · Pre-op care only | $234.42 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,238.72 | $2,238.72 |
Where Utah sits
The same service costs 14.5 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
$1,514
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.