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 $2,818.38 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,818.38 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,818.38 | $2,818.38 |
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 $2,344.23 Median $2,454.71 Typical High $4,365.16 | Professional | None | $2,344.23 | $2,454.71 | $4,365.16 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,202.26 Typical High $1,698.24 | Professional | None | $169.82 | $1,202.26 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,235.94 Median $3,801.89 Typical High $5,888.44 | Professional | None | $3,235.94 | $3,801.89 | $5,888.44 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,737.80 Median $3,388.44 Typical High $6,606.93 | Professional | None | $1,737.80 | $3,388.44 | $6,606.93 |
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 $1,862.09 Median $2,238.72 Typical High $4,168.69 | Professional | None | $1,862.09 | $2,238.72 | $4,168.69 |
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 $1,047.13 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,047.13 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $416.87 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,548.82 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $309.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $208.93 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,995.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,995.26 | $1,995.26 |
Where Utah sits
The same service costs 7.8 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
$1,349
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.