How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,445 to $27,542Professionalmedian $575 · 10th to 90th $59 to $977
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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,174.90 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $10,715.19 Typical High $10,964.78 | Facility | None | $10,232.93 | $10,715.19 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,230.27 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $549.54 Typical High $794.33 | Professional | None | $56.23 | $549.54 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,379.62 Median $26,302.68 Typical High $38,904.51 | Facility | None | $21,379.62 | $26,302.68 | $38,904.51 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,659.59 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,659.59 | $1,949.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $891.25 Median $1,548.82 Typical High $3,467.37 | Professional | None | $891.25 | $1,548.82 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,778.28 | Professional | None | $870.96 | $1,023.29 | $1,778.28 |
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 $575.44 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $575.44 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | 53 · Discontinued | $234.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $870.96 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $173.78 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,000.00 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $1,000.00 | $1,000.00 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $31,622.78 Median $39,810.72 Typical High $57,543.99 | Facility | 50 · Both sides | $31,622.78 | $39,810.72 | $57,543.99 |
Where Utah sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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 $19,657HI $2,734
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.