How much rates vary
Facilitymedian $2,630 · 10th to 90th $813 to $6,918Professionalmedian $407 · 10th to 90th $63 to $724
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 $812.83 Median $3,162.28 Typical High $8,511.38 | Facility | None | $812.83 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $851.14 | Professional | None | $549.54 | $812.83 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,023.29 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $776.25 | Professional | None | $645.65 | $724.44 | $776.25 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $354.81 Typical High $537.03 | Professional | None | $56.23 | $354.81 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,786.30 | Facility | None | $2,511.89 | $3,311.31 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $831.76 | Professional | None | $660.69 | $741.31 | $831.76 |
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 $562.34 Median $977.24 Typical High $1,148.15 | Professional | None | $562.34 | $977.24 | $1,148.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,258.93 | Professional | None | $501.19 | $870.96 | $1,258.93 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $457.09 Median $549.54 Typical High $891.25 | Professional | None | $457.09 | $549.54 | $891.25 |
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 $295.12 Median $407.38 Typical High $426.58 | Professional | 52 · Reduced service | $295.12 | $407.38 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $162.18 Typical High $169.82 | Professional | 53 · Discontinued | $117.49 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $602.56 Typical High $645.65 | Professional | 54 · Surgery only | $446.68 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $120.23 Typical High $128.82 | Professional | 55 · Aftercare only | $89.13 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $81.28 Typical High $85.11 | Professional | 56 · Pre-op care only | $58.88 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $562.34 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $416.87 | $562.34 | $602.56 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $4,897.79 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $4,897.79 | $7,244.36 |
Where Utah sits
The same service costs 4.0 times more in Colorado than in Florida. 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
CO $4,440FL $1,118
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.