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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,570.40 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,715.35 | Facility | None | $2,884.03 | $3,235.94 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,290.87 | $2,454.71 | $3,162.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $6,918.31 | Facility | None | $3,801.89 | $4,897.79 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,041.74 | $2,630.27 | $2,630.27 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,570.40 | $3,630.78 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $1,288.25 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,288.25 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $512.86 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,949.84 Median $2,238.72 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,949.84 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $389.05 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $257.04 | $295.12 | $295.12 |
Where Utah sits
Rates are fairly even across states for this service. 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· 39th of 51
$2,570
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.