How much rates vary
Facilitymedian $6,026 · 10th to 90th $3,388 to $15,849Professionalmedian $1,318 · 10th to 90th $200 to $2,344
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 $3,388.44 Median $4,570.88 Typical High $9,772.37 | Facility | None | $3,388.44 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,398.83 | $3,388.44 | $3,388.44 |
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 $2,818.38 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,818.38 | $2,951.21 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $1,258.93 Typical High $1,862.09 | Professional | None | $194.98 | $1,258.93 | $1,862.09 |
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 $3,019.95 Median $3,235.94 Typical High $3,548.13 | Professional | None | $3,019.95 | $3,235.94 | $3,548.13 |
Select Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $4,677.35 | Professional | None | $2,570.40 | $3,981.07 | $4,677.35 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,137.96 Median $3,890.45 Typical High $5,888.44 | Professional | None | $2,137.96 | $3,890.45 | $5,888.44 |
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 $1,995.26 Median $2,454.71 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,454.71 | $4,168.69 |
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 $2,041.74 Median $2,570.40 Typical High $2,570.40 | Professional | 54 · Surgery only | $2,041.74 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,398.83 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,398.83 | $2,398.83 |
Where Utah sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $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.