How much rates vary
Facilitymedian $6,026 · 10th to 90th $3,311 to $15,849Professionalmedian $1,349 · 10th to 90th $200 to $2,399
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 $3,311.31 Median $4,570.88 Typical High $9,772.37 | Facility | None | $3,311.31 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,454.71 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,884.03 | $2,884.03 | $3,467.37 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,288.25 Typical High $1,905.46 | Professional | None | $194.98 | $1,288.25 | $1,905.46 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,311.31 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $4,786.30 | Professional | None | $2,630.27 | $4,073.80 | $4,786.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,187.76 Median $3,981.07 Typical High $6,025.60 | Professional | None | $2,187.76 | $3,981.07 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $4,265.80 | Professional | None | $2,041.74 | $2,454.71 | $4,265.80 |
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 $1,380.38 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,380.38 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $549.54 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,089.30 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,949.84 | $2,344.23 | $2,344.23 |
Where Utah sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.