How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,820 to $13,804Professionalmedian $676 · 10th to 90th $87 to $1,202
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 $1,819.70 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,819.70 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,365.16 | $4,570.88 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,513.56 | $1,778.28 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $660.69 Typical High $954.99 | Professional | None | $85.11 | $660.69 | $954.99 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,332.54 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,332.54 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,621.81 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,621.81 | $1,698.24 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,348.96 | $2,041.74 | $2,398.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $4,073.80 | Professional | None | $1,096.48 | $1,949.84 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,288.25 | $2,187.76 |
7 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 $724.44 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $724.44 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $288.40 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,096.48 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $218.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $144.54 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,258.93 | $1,258.93 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $13,803.84 Median $18,197.01 Typical High $26,302.68 | Facility | 50 · Both sides | $13,803.84 | $18,197.01 | $26,302.68 |
Where Utah sits
The same service costs 17.8 times more in Alaska than in Texas. 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· 50th of 51
$692
AK $5,129TX $288
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.