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 $2,454.71 Median $3,162.28 Typical High $6,025.60 | Facility | None | $2,454.71 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,089.30 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,174.90 Typical High $1,513.56 | Professional | None | $165.96 | $1,174.90 | $1,513.56 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,951.21 Typical High $3,235.94 | Professional | None | $2,754.23 | $2,951.21 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $3,801.89 Typical High $4,466.84 | Professional | None | $1,862.09 | $3,801.89 | $4,466.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,570.88 | Professional | None | $1,513.56 | $2,818.38 | $4,570.88 |
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 $1,380.38 Median $1,698.24 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,698.24 | $2,884.03 |
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 $1,000.00 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,000.00 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $398.11 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,479.11 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $295.12 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,698.24 | $1,698.24 |
Where Utah sits
The same service costs 6.0 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
$1,230
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.