How much rates vary
Facilitymedian $4,467 · 10th to 90th $603 to $7,943Professionalmedian $275 · 10th to 90th $56 to $513
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 $602.56 Median $4,570.88 Typical High $8,912.51 | Facility | None | $602.56 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $602.56 | Professional | None | $407.38 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $602.56 | Professional | None | $501.19 | $524.81 | $602.56 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $257.04 Typical High $363.08 | Professional | None | $54.95 | $257.04 | $363.08 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,888.44 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $630.96 | Professional | None | $537.03 | $562.34 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $851.14 | Professional | None | $457.09 | $724.44 | $851.14 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $1,445.44 | Professional | None | $371.54 | $676.08 | $1,445.44 |
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 $363.08 Median $426.58 Typical High $724.44 | Professional | None | $363.08 | $426.58 | $724.44 |
3 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 54 · Surgery only Typical Low $363.08 Median $457.09 Typical High $457.09 | Professional | 54 · Surgery only | $363.08 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $426.58 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $338.84 | $426.58 | $426.58 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,606.93 Median $8,912.51 Typical High $12,882.50 | Facility | 50 · Both sides | $6,606.93 | $8,912.51 | $12,882.50 |
Where Utah sits
The same service costs 4.9 times more in Colorado 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
CO $6,755MT $1,384
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.