How much rates vary
Facilitymedian $4,467 · 10th to 90th $501 to $15,488Professionalmedian $355 · 10th to 90th $63 to $589
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 $501.19 Median $3,162.28 Typical High $8,511.38 | Facility | None | $501.19 | $3,162.28 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $724.44 | Professional | None | $363.08 | $501.19 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,168.69 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $645.65 | Professional | None | $436.52 | $602.56 | $645.65 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $316.23 Typical High $489.78 | Professional | None | $56.23 | $316.23 | $489.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $11,481.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $11,481.54 | $14,791.08 | $21,379.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $812.83 | Professional | None | $467.74 | $691.83 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $676.08 | Professional | None | $398.11 | $575.44 | $676.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $1,348.96 | Professional | None | $457.09 | $776.25 | $1,348.96 |
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 $331.13 Median $501.19 Typical High $776.25 | Professional | None | $331.13 | $501.19 | $776.25 |
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 $251.19 Median $251.19 Typical High $363.08 | Professional | 52 · Reduced service | $251.19 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | 54 · Surgery only | $380.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $72.44 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $512.86 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $16,982.44 Median $21,877.62 Typical High $32,359.37 | Facility | 50 · Both sides | $16,982.44 | $21,877.62 | $32,359.37 |
Where Utah sits
The same service costs 6.4 times more in Alaska 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
AK $8,723MT $1,361
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.