How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,148 to $15,488Professionalmedian $479 · 10th to 90th $59 to $813
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 $1,148.15 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,148.15 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | None | $954.99 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $467.74 Typical High $660.69 | Professional | None | $56.23 | $467.74 | $660.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $11,481.54 | $14,791.08 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,122.02 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,380.38 Typical High $1,621.81 | Professional | None | $891.25 | $1,380.38 | $1,621.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $1,949.84 | Professional | None | $758.58 | $1,348.96 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,265.80 Typical High $13,803.84 | Facility | None | $1,698.24 | $4,265.80 | $13,803.84 |
United Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,445.44 | Professional | None | $707.95 | $831.76 | $1,445.44 |
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 $478.63 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $478.63 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $724.44 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $144.54 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $95.50 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $676.08 | $794.33 | $794.33 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,877.62 Typical High $32,359.37 | Facility | 50 · Both sides | $16,982.44 | $21,877.62 | $32,359.37 |
Where Utah sits
The same service costs 7.6 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.
Utah· 50th of 51
$490
AK $3,388TX $447
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.