How much rates vary
Facilitymedian $5,129 · 10th to 90th $525 to $14,791Professionalmedian $372 · 10th to 90th $275 to $741
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 $524.81 Median $4,570.88 Typical High $9,772.37 | Facility | None | $524.81 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $758.58 | Professional | None | $416.87 | $524.81 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,884.03 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $831.76 | Professional | None | $512.86 | $602.56 | $831.76 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $371.54 | Professional | None | $269.15 | $309.03 | $371.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $10,715.19 Median $14,125.38 Typical High $20,892.96 | Facility | None | $10,715.19 | $14,125.38 | $20,892.96 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $724.44 | Professional | None | $549.54 | $645.65 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $1,548.82 | Professional | None | $363.08 | $630.96 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,630.78 Typical High $8,317.64 | Facility | None | $1,288.25 | $3,630.78 | $8,317.64 |
United Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $933.25 | Professional | None | $407.38 | $512.86 | $933.25 |
6 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 $234.42 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $234.42 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $354.81 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $46.77 | $52.48 | $52.48 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $15,848.93 Median $21,379.62 Typical High $30,902.95 | Facility | 50 · Both sides | $15,848.93 | $21,379.62 | $30,902.95 |
Where Utah sits
The same service costs 8.9 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 $11,610MT $1,306
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.