How much rates vary
Facilitymedian $389 · 10th to 90th $74 to $4,467Professionalmedian $115 · 10th to 90th $66 to $186
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 $74.13 Median $117.49 Typical High $4,570.88 | Facility | None | $74.13 | $117.49 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $165.96 | Professional | None | $58.88 | $107.15 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $186.21 | Professional | None | $123.03 | $144.54 | $186.21 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $323.59 Median $407.38 Typical High $588.84 | Facility | None | $323.59 | $407.38 | $588.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $141.25 | Professional | None | $61.66 | $109.65 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Select Health Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | None | $63.10 | $74.13 | $83.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $239.88 | Professional | None | $64.57 | $138.04 | $239.88 |
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 $58.88 Median $102.33 Typical High $169.82 | Professional | None | $58.88 | $102.33 | $169.82 |
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 $29.51 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $29.51 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $11.75 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $67.61 Typical High $87.10 | Professional | 54 · Surgery only | $44.67 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $13.49 Typical High $17.38 | Professional | 55 · Aftercare only | $8.91 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.91 Typical High $11.75 | Professional | 56 · Pre-op care only | $5.89 | $8.91 | $11.75 |
Where Utah sits
The same service costs 12.9 times more in Colorado than in Maine. 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.
Physician feeFacility fee
CO $2,408ME $187
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.