How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,514 to $26,303Professionalmedian $794 · 10th to 90th $87 to $1,318
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 $1,513.56 Median $4,570.88 Typical High $9,120.11 | Facility | None | $1,513.56 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,230.27 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $11,220.18 Typical High $11,481.54 | Facility | None | $10,715.19 | $11,220.18 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,288.25 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $776.25 Typical High $1,148.15 | Professional | None | $85.11 | $776.25 | $1,148.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $20,417.38 Median $25,118.86 Typical High $37,153.52 | Facility | None | $20,417.38 | $25,118.86 | $37,153.52 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,445.44 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,148.15 | $2,238.72 | $2,630.27 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,047.13 | $1,949.84 | $4,168.69 |
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 $912.01 Median $1,096.48 Typical High $1,819.70 | Professional | None | $912.01 | $1,096.48 | $1,819.70 |
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 $616.60 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $616.60 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,047.13 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $30,199.52 Median $38,018.94 Typical High $54,954.09 | Facility | 50 · Both sides | $30,199.52 | $38,018.94 | $54,954.09 |
Where Utah sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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 $15,585KY $2,601
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.