How much rates vary
Facilitymedian $4,571 · 10th to 90th $2,042 to $8,128Professionalmedian $851 · 10th to 90th $112 to $1,514
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 $2,290.87 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,290.87 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,584.89 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,128.31 | Facility | None | $7,762.47 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,905.46 | $1,949.84 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $794.33 Typical High $1,230.27 | Professional | None | $109.65 | $794.33 | $1,230.27 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $7,079.46 | Facility | None | $3,890.45 | $4,897.79 | $7,079.46 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,137.96 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,570.40 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,570.40 | $3,019.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,454.71 | $3,630.78 |
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 $1,348.96 Median $1,621.81 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,621.81 | $2,754.23 |
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 $912.01 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $912.01 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $1,348.96 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $181.97 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,258.93 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,258.93 | $1,584.89 | $1,584.89 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,888.44 Median $7,244.36 Typical High $10,715.19 | Facility | 50 · Both sides | $5,888.44 | $7,244.36 | $10,715.19 |
Where Utah sits
The same service costs 6.3 times more in Alaska than in Texas. 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 $16,928TX $2,675
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.