How much rates vary
Facilitymedian $11,220 · 10th to 90th $955 to $27,542Professionalmedian $372 · 10th to 90th $59 to $676
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 $954.99 Median $4,570.88 Typical High $9,772.37 | Facility | None | $954.99 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $954.99 | Professional | None | $691.83 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $11,220.18 Median $11,748.98 Typical High $12,022.64 | Facility | None | $11,220.18 | $11,748.98 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $977.24 | Professional | None | $794.33 | $812.83 | $977.24 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $346.74 Typical High $537.03 | Professional | None | $56.23 | $346.74 | $537.03 |
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 $870.96 Median $933.25 Typical High $1,023.29 | Professional | None | $870.96 | $933.25 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $1,122.02 Typical High $1,318.26 | Professional | None | $741.31 | $1,122.02 | $1,318.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,511.89 | Professional | None | $602.56 | $1,096.48 | $2,511.89 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,174.90 | Professional | None | $588.84 | $691.83 | $1,174.90 |
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 $389.05 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $724.44 Typical High $724.44 | Professional | 54 · Surgery only | $588.84 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $676.08 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $549.54 | $676.08 | $676.08 |
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 10.6 times more in Alaska than in Montana. 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 $23,236MT $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.