How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,175 to $6,026Professionalmedian $759 · 10th to 90th $83 to $1,445
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 $1,737.80 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,737.80 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,380.38 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,148.15 | Facility | None | $1,071.52 | $1,122.02 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,412.54 | $1,445.44 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $724.44 Typical High $954.99 | Professional | None | $83.18 | $724.44 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $3,981.07 Typical High $5,888.44 | Facility | None | $3,162.28 | $3,981.07 | $5,888.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,995.26 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,905.46 | $2,238.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $2,818.38 | Professional | None | $977.24 | $1,819.70 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $2,041.74 | Professional | None | $1,000.00 | $1,202.26 | $2,041.74 |
7 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 $691.83 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $691.83 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $275.42 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,023.29 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $138.04 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $954.99 | $1,202.26 | $1,202.26 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $4,786.30 Median $6,025.60 Typical High $8,709.64 | Facility | 50 · Both sides | $4,786.30 | $6,025.60 | $8,709.64 |
Where Utah sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 51st of 51
$776
AK $4,786UT $776
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.