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 $1,412.54 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,412.54 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,071.52 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $758.58 Typical High $1,023.29 | Professional | None | $85.11 | $758.58 | $1,023.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,412.54 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,621.81 | $1,905.46 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,778.28 | $2,290.87 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,174.90 | $2,137.96 |
4 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 54 · Surgery only Typical Low $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $794.33 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 55 · Aftercare only | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $107.15 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $741.31 | $977.24 | $977.24 |
Where Utah sits
The same service costs 16.2 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
$776
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.