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 $1,412.54 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,412.54 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,412.54 | Professional | None | $977.24 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,778.28 | Facility | None | $1,698.24 | $1,737.80 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,949.84 | Professional | None | $1,174.90 | $1,202.26 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $645.65 Typical High $912.01 | Professional | None | $81.28 | $645.65 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,011.87 Median $6,606.93 Typical High $9,772.37 | Facility | None | $5,011.87 | $6,606.93 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,659.59 | $1,778.28 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $758.58 Median $1,698.24 Typical High $3,019.95 | Professional | None | $758.58 | $1,698.24 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,137.96 | Professional | None | $912.01 | $1,071.52 | $2,137.96 |
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 $537.03 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $537.03 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $213.80 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $812.83 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $758.58 | $977.24 | $977.24 |
Where Utah sits
The same service costs 6.6 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
$741
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.