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 $120.23 Median $2,951.21 Typical High $4,570.88 | Facility | None | $120.23 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $162.18 | Professional | None | $120.23 | $147.91 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $114.82 | Facility | None | $109.65 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $199.53 | Professional | None | $120.23 | $162.18 | $199.53 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $128.82 | Professional | None | $74.13 | $97.72 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $891.25 | Facility | None | $478.63 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $208.93 | Professional | None | $144.54 | $177.83 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $251.19 | Professional | None | $87.10 | $165.96 | $251.19 |
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 $107.15 Median $138.04 Typical High $213.80 | Professional | None | $107.15 | $138.04 | $213.80 |
7 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 $60.26 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $60.26 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $91.20 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $18.20 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $12.02 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 78 · Unplanned return to OR | $85.11 | $102.33 | $102.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $933.25 Typical High $1,348.96 | Facility | 50 · Both sides | $707.95 | $933.25 | $1,348.96 |
Where Utah sits
The same service costs 4.1 times more in Alaska than in Florida. 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
$115
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.