How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,862 to $7,762Professionalmedian $692 · 10th to 90th $87 to $1,230
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 $1,862.09 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,862.09 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,025.60 | Facility | None | $5,623.41 | $5,888.44 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,513.56 | $1,698.24 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $676.08 Typical High $977.24 | Professional | None | $85.11 | $676.08 | $977.24 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $7,079.46 | Facility | None | $3,890.45 | $4,897.79 | $7,079.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,698.24 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $2,398.83 | Professional | None | $1,348.96 | $2,041.74 | $2,398.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $3,162.28 | Professional | None | $1,230.27 | $2,041.74 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,288.25 | $2,238.72 |
7 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 $724.44 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $724.44 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $1,096.48 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $218.78 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $144.54 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,288.25 | $1,288.25 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $7,244.36 Typical High $10,715.19 | Facility | 50 · Both sides | $5,888.44 | $7,244.36 | $10,715.19 |
Where Utah sits
The same service costs 6.1 times more in Alaska than in Texas. 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 $14,041TX $2,290
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.