How much rates vary
Facilitymedian $437 · 10th to 90th $166 to $4,467Professionalmedian $229 · 10th to 90th $30 to $372
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 $338.84 Median $363.08 Typical High $4,570.88 | Facility | None | $338.84 | $363.08 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $426.58 | Professional | None | $263.03 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $162.18 | Facility | None | $154.88 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $363.08 | Professional | None | $288.40 | $309.03 | $363.08 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $199.53 Typical High $316.23 | Professional | None | $28.18 | $199.53 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $724.44 | Facility | None | $371.54 | $489.78 | $724.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $446.68 | Professional | None | $346.74 | $407.38 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $549.54 Typical High $645.65 | Professional | None | $295.12 | $549.54 | $645.65 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $251.19 Median $457.09 Typical High $707.95 | Professional | None | $251.19 | $457.09 | $707.95 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $436.52 | Professional | None | $223.87 | $269.15 | $436.52 |
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 $151.36 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $151.36 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $61.66 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $251.19 Typical High $269.15 | Professional | 54 · Surgery only | $229.09 | $251.19 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $45.71 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $234.42 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $213.80 | $234.42 | $257.04 |
Where Utah sits
The same service costs 6.4 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 $2,602FL $408
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.