How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,202 to $38,019Professionalmedian $427 · 10th to 90th $59 to $776
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 $1,202.26 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,202.26 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $776.25 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $1,995.26 | Facility | None | $1,862.09 | $1,949.84 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,174.90 | Professional | None | $933.25 | $1,047.13 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $416.87 Typical High $602.56 | Professional | None | $56.23 | $416.87 | $602.56 |
Regence BlueShield Setting Facility Modifier None Typical Low $26,302.68 Median $32,359.37 Typical High $47,863.01 | Facility | None | $26,302.68 | $32,359.37 | $47,863.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,148.15 | Professional | None | $977.24 | $1,023.29 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,513.56 | Professional | None | $831.76 | $1,288.25 | $1,513.56 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,570.40 | Professional | None | $691.83 | $1,258.93 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,348.96 | Professional | None | $691.83 | $831.76 | $1,348.96 |
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 $446.68 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $446.68 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $177.83 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $676.08 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $134.90 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $89.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $630.96 | $831.76 | $831.76 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $38,904.51 Median $48,977.88 Typical High $70,794.58 | Facility | 50 · Both sides | $38,904.51 | $48,977.88 | $70,794.58 |
Where Utah sits
The same service costs 4.3 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 $9,769TX $2,271
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.