How much rates vary
Facilitymedian $4,571 · 10th to 90th $646 to $9,772Professionalmedian $282 · 10th to 90th $59 to $468
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 $645.65 Median $4,570.88 Typical High $12,022.64 | Facility | None | $645.65 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $741.31 | Professional | None | $467.74 | $645.65 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,949.84 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | None | $549.54 | $549.54 | $660.69 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $269.15 Typical High $371.54 | Professional | None | $56.23 | $269.15 | $371.54 |
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 $616.60 Median $645.65 Typical High $724.44 | Professional | None | $616.60 | $645.65 | $724.44 |
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 $512.86 Median $812.83 Typical High $954.99 | Professional | None | $512.86 | $812.83 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $1,230.27 | Professional | None | $398.11 | $741.31 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $812.83 | Professional | None | $398.11 | $478.63 | $812.83 |
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 $275.42 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $275.42 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $109.65 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $407.38 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $380.19 | $457.09 | $457.09 |
Where Utah sits
The same service costs 5.4 times more in Alabama than in Montana. 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
AL $8,312MT $1,553
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.