How much rates vary
Facilitymedian $4,467 · 10th to 90th $603 to $7,943Professionalmedian $263 · 10th to 90th $49 to $457
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 $416.87 Median $602.56 Typical High $602.56 | Professional | None | $416.87 | $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 $489.78 Median $512.86 Typical High $602.56 | Professional | None | $489.78 | $512.86 | $602.56 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $245.47 Typical High $346.74 | Professional | None | $48.98 | $245.47 | $346.74 |
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 $524.81 Median $549.54 Typical High $616.60 | Professional | None | $524.81 | $549.54 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $707.95 Typical High $831.76 | Professional | None | $436.52 | $707.95 | $831.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,047.13 | Professional | None | $363.08 | $660.69 | $1,047.13 |
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 $416.87 Typical High $724.44 | Professional | None | $363.08 | $416.87 | $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 $354.81 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $354.81 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $331.13 | $416.87 | $416.87 |
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 5.1 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 $6,741MT $1,322
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.