How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,413 to $6,457Professionalmedian $708 · 10th to 90th $60 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 $1,479.11 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,479.11 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,479.11 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,318.26 | $1,949.84 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $660.69 Typical High $912.01 | Professional | None | $56.23 | $660.69 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,888.44 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,548.82 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $741.31 Median $1,621.81 Typical High $1,949.84 | Professional | None | $741.31 | $1,621.81 | $1,949.84 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,187.76 | Professional | None | $977.24 | $1,148.15 | $2,187.76 |
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 $776.25 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $776.25 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $724.44 | $1,047.13 | $1,047.13 |
Where Utah sits
The same service costs 3.4 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 $7,428KY $2,193
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.