How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,288 to $10,715Professionalmedian $646 · 10th to 90th $490 to $1,318
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 $1,288.25 Median $3,162.28 Typical High $4,570.88 | Facility | None | $1,288.25 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,288.25 Typical High $1,288.25 | Professional | None | $794.33 | $1,288.25 | $1,288.25 |
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 $933.25 Median $1,096.48 Typical High $1,258.93 | Professional | None | $933.25 | $1,096.48 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $562.34 Typical High $660.69 | Professional | None | $489.78 | $562.34 | $660.69 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $1,479.11 | Professional | None | $1,258.93 | $1,318.26 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Select Health Setting Professional Modifier None Typical Low $851.14 Median $1,548.82 Typical High $1,819.70 | Professional | None | $851.14 | $1,548.82 | $1,819.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $707.95 Median $1,230.27 Typical High $2,137.96 | Professional | None | $707.95 | $1,230.27 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $39,810.72 | Facility | None | $2,398.83 | $5,370.32 | $39,810.72 |
United Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,412.54 | Professional | None | $724.44 | $851.14 | $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 $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $457.09 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $676.08 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $134.90 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $91.20 | $128.82 | $128.82 |
Where Utah sits
The same service costs 4.6 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 $9,843KY $2,122
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.