How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $676,082.98 Median $676,082.98 Typical High $676,082.98 | Facility | None | $676,082.98 | $676,082.98 | $676,082.98 |
Aetna Setting Professional Modifier None Typical Low $588,843.66 Median $676,082.98 Typical High $676,082.98 | Professional | None | $588,843.66 | $676,082.98 | $676,082.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295,120.92 Median $338,844.16 Typical High $338,844.16 | Professional | 52 · Reduced service | $295,120.92 | $338,844.16 | $338,844.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117,489.76 Median $134,896.29 Typical High $134,896.29 | Professional | 53 · Discontinued | $117,489.76 | $134,896.29 | $134,896.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $100,000.00 Typical High $100,000.00 | Professional | 55 · Aftercare only | $87,096.36 | $100,000.00 | $100,000.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58,884.37 Median $67,608.30 Typical High $67,608.30 | Professional | 56 · Pre-op care only | $58,884.37 | $67,608.30 | $67,608.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $60.26 | Professional | None | $30.20 | $30.20 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $630,957.34 Median $630,957.34 Typical High $630,957.34 | Facility | None | $630,957.34 | $630,957.34 | $630,957.34 |
Select Health Setting Professional Modifier None Typical Low $467,735.14 Median $602,559.59 Typical High $602,559.59 | Professional | None | $467,735.14 | $602,559.59 | $602,559.59 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $524,807.46 Median $630,957.34 Typical High $851,138.04 | Professional | None | $524,807.46 | $630,957.34 | $851,138.04 |
United Setting Professional Modifier None Typical Low $549,540.87 Median $562,341.33 Typical High $676,082.98 | Professional | None | $549,540.87 | $562,341.33 | $676,082.98 |
Where Utah sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 7th of 51
$676,083
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.