How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,660 to $15,849Professionalmedian $646 · 10th to 90th $87 to $1,148
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 $1,659.59 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,659.59 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,495.41 | $5,754.40 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,380.38 | $1,445.44 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $630.96 Typical High $912.01 | Professional | None | $85.11 | $630.96 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,232.93 Median $12,882.50 Typical High $18,620.87 | Facility | None | $10,232.93 | $12,882.50 | $18,620.87 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,584.89 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,258.93 | $1,905.46 | $2,238.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $3,630.78 | Professional | None | $1,023.29 | $1,905.46 | $3,630.78 |
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 $1,000.00 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,000.00 | $1,202.26 | $1,995.26 |
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 $676.08 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $676.08 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $269.15 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,000.00 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $199.53 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $933.25 | $1,174.90 | $1,174.90 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,488.17 Median $19,498.45 Typical High $28,183.83 | Facility | 50 · Both sides | $15,488.17 | $19,498.45 | $28,183.83 |
Where Utah sits
The same service costs 5.5 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 $14,559TX $2,668
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.