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 $1,905.46 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,905.46 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,548.82 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,897.79 Typical High $5,011.87 | Facility | None | $4,786.30 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,621.81 | $1,905.46 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $724.44 Typical High $1,047.13 | Professional | None | $83.18 | $724.44 | $1,047.13 |
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 $2,089.30 Median $2,238.72 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,238.72 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Select Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,412.54 | $2,137.96 | $2,511.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,148.15 | $2,089.30 | $3,235.94 |
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 $1,122.02 Median $1,348.96 Typical High $2,290.87 | Professional | None | $1,122.02 | $1,348.96 | $2,290.87 |
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 $776.25 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $776.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $309.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,174.90 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $234.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,348.96 | $1,348.96 |
Where Utah sits
The same service costs 11.0 times more in Alaska than in Texas. 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· 50th of 51
$759
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.