How much rates vary
Facilitymedian $3,090 · 10th to 90th $759 to $6,918Professionalmedian $724 · 10th to 90th $98 to $1,072
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 $758.58 Median $3,162.28 Typical High $8,511.38 | Facility | None | $758.58 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,096.48 | Professional | None | $741.31 | $870.96 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,288.25 | Professional | None | $870.96 | $1,047.13 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $851.14 | Professional | None | $85.11 | $562.34 | $851.14 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,019.95 Median $3,801.89 Typical High $5,495.41 | Facility | None | $3,019.95 | $3,801.89 | $5,495.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,148.15 | Professional | None | $776.25 | $954.99 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,445.44 | Professional | None | $776.25 | $1,288.25 | $1,445.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $2,041.74 | Professional | None | $758.58 | $1,230.27 | $2,041.74 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,318.26 | Professional | None | $707.95 | $891.25 | $1,318.26 |
6 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 $371.54 Median $398.11 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $158.49 Typical High $186.21 | Professional | 53 · Discontinued | $147.91 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $588.84 Typical High $691.83 | Professional | 54 · Surgery only | $562.34 | $588.84 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $117.49 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $79.43 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $549.54 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $524.81 | $549.54 | $645.65 |
Where Utah sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
AK $6,113DE $1,645
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.