How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,349 to $15,488Professionalmedian $603 · 10th to 90th $87 to $1,047
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 $1,348.96 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,348.96 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,348.96 | $1,348.96 |
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 $1,148.15 Median $1,148.15 Typical High $1,412.54 | Professional | None | $1,148.15 | $1,148.15 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $562.34 Typical High $851.14 | Professional | None | $85.11 | $562.34 | $851.14 |
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 $1,318.26 Median $1,412.54 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,412.54 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,096.48 | $1,778.28 | $2,089.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $2,818.38 | Professional | None | $912.01 | $1,584.89 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,737.80 | Professional | None | $831.76 | $1,023.29 | $1,737.80 |
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 $588.84 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $588.84 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $239.88 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | 54 · Surgery only | $891.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | 55 · Aftercare only | $177.83 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $831.76 | $954.99 | $954.99 |
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 3.9 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 $12,209DE $3,093
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.