How much rates vary
Facilitymedian $2,951 · 10th to 90th $302 to $6,026Professionalmedian $676 · 10th to 90th $513 to $1,380
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 $1,174.90 Median $3,162.28 Typical High $4,570.88 | Facility | None | $1,174.90 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $1,174.90 | Professional | None | $758.58 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,202.26 | Professional | None | $954.99 | $1,023.29 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $691.83 | Professional | None | $512.86 | $575.44 | $691.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,380.38 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $1,659.59 Typical High $1,949.84 | Professional | None | $870.96 | $1,659.59 | $1,949.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,187.76 | Professional | None | $707.95 | $1,318.26 | $2,187.76 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $39,810.72 | Facility | None | $199.53 | $1,023.29 | $39,810.72 |
United Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,412.54 | Professional | None | $691.83 | $831.76 | $1,412.54 |
5 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 $457.09 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $186.21 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $117.49 | $117.49 |
Where Utah sits
The same service costs 8.2 times more in Alabama than in Delaware. 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
AL $7,738DE $946
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.