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 $128.82 Median $2,951.21 Typical High $4,570.88 | Facility | None | $128.82 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $141.25 | Professional | None | $100.00 | $128.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $112.20 | Facility | None | $104.71 | $109.65 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $154.88 | Professional | None | $123.03 | $134.90 | $154.88 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $128.82 | Professional | None | $75.86 | $97.72 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $602.56 Typical High $891.25 | Facility | None | $478.63 | $602.56 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $245.47 | Professional | None | $181.97 | $213.80 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $177.83 | Professional | None | $120.23 | $154.88 | $177.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $331.13 | Professional | None | $107.15 | $194.98 | $331.13 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $181.97 | Professional | None | $91.20 | $112.20 | $181.97 |
2 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 54 · Surgery only Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | 54 · Surgery only | $95.50 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | 78 · Unplanned return to OR | $89.13 | $89.13 | $100.00 |
Where Utah sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 46th of 51
$112
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.