How much rates vary
Facilitymedian $407 · 10th to 90th $120 to $4,467Professionalmedian $178 · 10th to 90th $105 to $288
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 $95.50 Median $144.54 Typical High $186.21 | Professional | None | $95.50 | $144.54 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $131.83 | Facility | None | $125.89 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $309.03 | Professional | None | $190.55 | $229.09 | $309.03 |
Molina Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $208.93 | Professional | None | $144.54 | $169.82 | $208.93 |
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 $100.00 Median $165.96 Typical High $213.80 | Professional | None | $100.00 | $165.96 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $131.83 | Professional | None | $100.00 | $117.49 | $131.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $208.93 Typical High $371.54 | Professional | None | $102.33 | $208.93 | $371.54 |
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 $93.33 Median $158.49 Typical High $269.15 | Professional | None | $93.33 | $158.49 | $269.15 |
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 $46.77 Median $70.79 Typical High $93.33 | Professional | 52 · Reduced service | $46.77 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $19.05 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $107.15 Typical High $141.25 | Professional | 54 · Surgery only | $70.79 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $21.38 Typical High $28.18 | Professional | 55 · Aftercare only | $14.13 | $21.38 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $14.13 Typical High $18.62 | Professional | 56 · Pre-op care only | $9.33 | $14.13 | $18.62 |
Where Utah sits
The same service costs 11.6 times more in Hawaii than in Maryland. 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
HI $3,027MD $261
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.