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 $1,479.11 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,479.11 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,762.47 Typical High $7,943.28 | Facility | None | $7,585.78 | $7,762.47 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,258.93 | $1,288.25 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $676.08 Typical High $870.96 | Professional | None | $83.18 | $676.08 | $870.96 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,471.29 Median $13,182.57 Typical High $19,054.61 | Facility | None | $10,471.29 | $13,182.57 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,778.28 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,698.24 | $1,995.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $2,884.03 | Professional | None | $933.25 | $1,659.59 | $2,884.03 |
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 $891.25 Median $1,047.13 Typical High $1,819.70 | Professional | None | $891.25 | $1,047.13 | $1,819.70 |
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 $616.60 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $616.60 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $245.47 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $123.03 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,047.13 |
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
$692
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.