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 $2,187.76 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,187.76 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,659.59 | $2,187.76 | $2,187.76 |
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 $1,778.28 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,778.28 | $1,905.46 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $812.83 Typical High $1,122.02 | Professional | None | $109.65 | $812.83 | $1,122.02 |
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 $2,290.87 Median $2,398.83 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,398.83 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $2,691.53 | Professional | None | $1,513.56 | $2,290.87 | $2,691.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,258.93 | $2,238.72 | $3,548.13 |
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 $1,230.27 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,479.11 | $2,511.89 |
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 $831.76 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $831.76 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $331.13 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,258.93 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,258.93 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $251.19 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $165.96 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,548.82 | $1,548.82 |
Where Utah sits
The same service costs 24.5 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
$851
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.