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 $891.25 Median $3,388.44 Typical High $6,025.60 | Facility | None | $891.25 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $891.25 | Professional | None | $588.84 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $891.25 | Professional | None | $741.31 | $776.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $501.19 | Professional | None | $363.08 | $416.87 | $501.19 |
Regence BlueShield Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,096.48 | Professional | None | $933.25 | $977.24 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $912.01 Typical High $1,071.52 | Professional | None | $630.96 | $912.01 | $1,071.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,412.54 | Professional | None | $512.86 | $912.01 | $1,412.54 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $1,047.13 | Professional | None | $512.86 | $616.60 | $1,047.13 |
5 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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $512.86 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Where Utah sits
The same service costs 4.9 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
$490
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.