How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,754 to $26,303Professionalmedian $1,096 · 10th to 90th $170 to $1,905
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 $2,754.23 Median $4,570.88 Typical High $9,772.37 | Facility | None | $2,754.23 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,344.23 | $2,754.23 | $2,754.23 |
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 $2,187.76 Median $2,187.76 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,187.76 | $2,884.03 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,071.52 Typical High $1,548.82 | Professional | None | $165.96 | $1,071.52 | $1,548.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $20,417.38 Median $25,118.86 Typical High $37,153.52 | Facility | None | $20,417.38 | $25,118.86 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,570.40 | $2,754.23 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $3,890.45 | Professional | None | $2,187.76 | $3,311.31 | $3,890.45 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $4,677.35 | Professional | None | $1,621.81 | $3,019.95 | $4,677.35 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $2,041.74 Typical High $3,548.13 | Professional | None | $1,258.93 | $2,041.74 | $3,548.13 |
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 $1,174.90 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,174.90 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $467.74 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,737.80 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,905.46 | $1,905.46 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $30,199.52 Median $38,018.94 Typical High $54,954.09 | Facility | 50 · Both sides | $30,199.52 | $38,018.94 | $54,954.09 |
Where Utah sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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 $18,090KY $3,723
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.