How much rates vary
Facilitymedian $13,490 · 10th to 90th $2,512 to $44,668Professionalmedian $933 · 10th to 90th $141 to $1,698
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 $2,511.89 Median $6,760.83 Typical High $44,668.36 | Facility | None | $2,511.89 | $6,760.83 | $44,668.36 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,041.74 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $13,803.84 Median $14,125.38 Typical High $14,454.40 | Facility | None | $13,803.84 | $14,125.38 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,454.71 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $891.25 Typical High $1,318.26 | Professional | None | $138.04 | $891.25 | $1,318.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $38,018.94 Typical High $54,954.09 | Facility | None | $28,840.32 | $38,018.94 | $54,954.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,344.23 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $3,311.31 | Professional | None | $1,905.46 | $2,818.38 | $3,311.31 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,548.82 Median $2,754.23 Typical High $4,265.80 | Professional | None | $1,548.82 | $2,754.23 | $4,265.80 |
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 $1,584.89 Median $1,819.70 Typical High $3,162.28 | Professional | None | $1,584.89 | $1,819.70 | $3,162.28 |
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 $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,000.00 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $407.38 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,513.56 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $302.00 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $204.17 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,778.28 | $1,778.28 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $43,651.58 Median $56,234.13 Typical High $83,176.38 | Facility | 50 · Both sides | $43,651.58 | $56,234.13 | $83,176.38 |
Where Utah sits
The same service costs 7.8 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 $31,233KY $3,989
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.