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 $363.08 Median $2,884.03 Typical High $4,786.30 | Facility | None | $363.08 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $524.81 Typical High $758.58 | Professional | None | $316.23 | $524.81 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $489.78 | Facility | None | $457.09 | $478.63 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $851.14 | Professional | None | $426.58 | $724.44 | $851.14 |
Molina Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $645.65 | Professional | None | $457.09 | $537.03 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,258.93 Typical High $1,819.70 | Facility | None | $977.24 | $1,258.93 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $794.33 | Professional | None | $338.84 | $676.08 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $380.19 | Professional | None | $338.84 | $363.08 | $380.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $380.19 Median $812.83 Typical High $1,230.27 | Professional | None | $380.19 | $812.83 | $1,230.27 |
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 $302.00 Median $537.03 Typical High $891.25 | Professional | None | $302.00 | $537.03 | $891.25 |
1 more rate 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 54 · Surgery only Typical Low $239.88 Median $371.54 Typical High $478.63 | Professional | 54 · Surgery only | $239.88 | $371.54 | $478.63 |
Where Utah sits
The same service costs 3.1 times more in Alaska 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.
Utah· 29th of 51
$575
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.