How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,000 to $4,786Professionalmedian $457 · 10th to 90th $59 to $794
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 $1,096.48 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,096.48 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,096.48 | Professional | None | $758.58 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,023.29 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,122.02 | Professional | None | $891.25 | $954.99 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $436.52 Typical High $645.65 | Professional | None | $56.23 | $436.52 | $645.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,786.30 | Facility | None | $2,511.89 | $3,311.31 | $4,786.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,122.02 | Professional | None | $954.99 | $1,023.29 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $812.83 Median $1,348.96 Typical High $1,584.89 | Professional | None | $812.83 | $1,348.96 | $1,584.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $660.69 Median $1,174.90 Typical High $1,819.70 | Professional | None | $660.69 | $1,174.90 | $1,819.70 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,318.26 | Professional | None | $660.69 | $776.25 | $1,318.26 |
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 $436.52 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $436.52 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $173.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $87.10 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $776.25 | $776.25 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $3,801.89 Median $4,897.79 Typical High $7,244.36 | Facility | 50 · Both sides | $3,801.89 | $4,897.79 | $7,244.36 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Alabama. 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 $5,545AL $1,558
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.