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 $1,584.89 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,584.89 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,318.26 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,570.40 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,348.96 | $1,584.89 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $707.95 Typical High $891.25 | Professional | None | $83.18 | $707.95 | $891.25 |
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 $1,778.28 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,778.28 | $1,905.46 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,819.70 | $2,137.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $977.24 Median $1,737.80 Typical High $2,691.53 | Professional | None | $977.24 | $1,737.80 | $2,691.53 |
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 $954.99 Median $1,122.02 Typical High $1,949.84 | Professional | None | $954.99 | $1,122.02 | $1,949.84 |
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 $660.69 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $660.69 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $263.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $977.24 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $131.83 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,122.02 |
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
$741
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.