How much rates vary
Facilitymedian $14,125 · 10th to 90th $2,188 to $44,668Professionalmedian $871 · 10th to 90th $141 to $1,549
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 $2,187.76 Median $7,079.46 Typical High $44,668.36 | Facility | None | $2,187.76 | $7,079.46 | $44,668.36 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,548.82 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $23,988.33 Median $24,547.09 Typical High $25,118.86 | Facility | None | $23,988.33 | $24,547.09 | $25,118.86 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,819.70 | $1,862.09 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $851.14 Typical High $1,288.25 | Professional | None | $138.04 | $851.14 | $1,288.25 |
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 $2,511.89 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,511.89 | $2,630.27 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $1,659.59 Median $3,388.44 Typical High $3,981.07 | Professional | None | $1,659.59 | $3,388.44 | $3,981.07 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,412.54 Median $2,630.27 Typical High $5,128.61 | Professional | None | $1,412.54 | $2,630.27 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,584.89 | $2,754.23 |
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 $891.25 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $891.25 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $354.81 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,318.26 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $263.03 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $177.83 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,548.82 | $1,548.82 |
Where Utah sits
The same service costs 10.9 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 $39,570KY $3,638
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.