How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,514 to $39,811Professionalmedian $631 · 10th to 90th $87 to $1,122
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 $1,513.56 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,513.56 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $20,417.38 Median $21,379.62 Typical High $21,379.62 | Facility | None | $20,417.38 | $21,379.62 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,258.93 | $1,258.93 | $1,659.59 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $602.56 Typical High $891.25 | Professional | None | $85.11 | $602.56 | $891.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $38,018.94 Typical High $54,954.09 | Facility | None | $28,840.32 | $38,018.94 | $54,954.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,548.82 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,737.80 | $2,041.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,023.29 | $1,862.09 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $2,041.74 | Professional | None | $954.99 | $1,202.26 | $2,041.74 |
2 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 54 · Surgery only Typical Low $1,000.00 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,000.00 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $933.25 | $1,071.52 | $1,071.52 |
Where Utah sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.