How much rates vary
Facilitymedian $4,571 · 10th to 90th $933 to $8,511Professionalmedian $417 · 10th to 90th $59 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 $933.25 Median $4,570.88 Typical High $9,120.11 | Facility | None | $933.25 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $933.25 | Professional | None | $724.44 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,511.89 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None | $794.33 | $794.33 | $977.24 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $398.11 Typical High $588.84 | Professional | None | $56.23 | $398.11 | $588.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $9,772.37 | Facility | None | $5,128.61 | $6,760.83 | $9,772.37 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,071.52 | Professional | None | $912.01 | $977.24 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,445.44 | Professional | None | $758.58 | $1,230.27 | $1,445.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,862.09 | Professional | None | $602.56 | $1,122.02 | $1,862.09 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,202.26 | Professional | None | $588.84 | $691.83 | $1,202.26 |
6 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 $416.87 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $416.87 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $616.60 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $123.03 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $93.33 Typical High $93.33 | Professional | 56 · Pre-op care only | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $575.44 | $660.69 | $660.69 |
Where Utah sits
The same service costs 4.4 times more in Alaska than in Delaware. 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 $7,120DE $1,631
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.