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 $3,162.28 Typical High $6,025.60 | Facility | None | $3,162.28 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,290.87 | $3,162.28 | $3,162.28 |
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 $2,570.40 Median $2,691.53 Typical High $4,786.30 | Professional | None | $2,570.40 | $2,691.53 | $4,786.30 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $1,318.26 Typical High $1,905.46 | Professional | None | $169.82 | $1,318.26 | $1,905.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $6,456.54 | Professional | None | $3,467.37 | $4,168.69 | $6,456.54 |
Select Health Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,905.46 Median $3,715.35 Typical High $7,244.36 | Professional | None | $1,905.46 | $3,715.35 | $7,244.36 |
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 $2,041.74 Median $2,454.71 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,454.71 | $4,570.88 |
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 $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,148.15 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $457.09 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,698.24 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $338.84 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $229.09 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,584.89 | $2,187.76 | $2,187.76 |
Where Utah sits
The same service costs 7.2 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
$1,479
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.