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 $100.00 Median $2,951.21 Typical High $4,570.88 | Facility | None | $100.00 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $120.23 | Professional | None | $70.79 | $100.00 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $56.23 Typical High $56.23 | Facility | None | $53.70 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $112.20 | Professional | None | $91.20 | $104.71 | $112.20 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $67.61 | Professional | None | $48.98 | $56.23 | $67.61 |
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 $107.15 Median $141.25 Typical High $169.82 | Professional | None | $107.15 | $141.25 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $104.71 | Professional | None | $72.44 | $89.13 | $104.71 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $213.80 | Professional | None | $74.13 | $128.82 | $213.80 |
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 $61.66 Median $79.43 Typical High $125.89 | Professional | None | $61.66 | $79.43 | $125.89 |
3 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 $69.18 Median $74.13 Typical High $89.13 | Professional | 54 · Surgery only | $69.18 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $69.18 Typical High $83.18 | Professional | 78 · Unplanned return to OR | $64.57 | $69.18 | $83.18 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $912.01 Typical High $1,318.26 | Facility | 50 · Both sides | $707.95 | $912.01 | $1,318.26 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$77.62
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.