How much rates vary
Facilitymedian $4,571 · 10th to 90th $427 to $9,120Professionalmedian $302 · 10th to 90th $224 to $603
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 $426.58 Median $4,570.88 Typical High $9,120.11 | Facility | None | $426.58 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $446.68 | Professional | None | $354.81 | $426.58 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,949.84 | $1,995.26 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $467.74 Typical High $676.08 | Professional | None | $426.58 | $467.74 | $676.08 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $302.00 | Professional | None | $218.78 | $257.04 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,754.40 Median $7,585.78 Typical High $10,964.78 | Facility | None | $5,754.40 | $7,585.78 | $10,964.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $616.60 | Professional | None | $446.68 | $524.81 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $724.44 | Professional | None | $251.19 | $501.19 | $724.44 |
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 $398.11 Typical High $741.31 | Professional | None | $331.13 | $398.11 | $741.31 |
4 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 $281.84 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $281.84 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $56.23 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $38.02 | $42.66 | $42.66 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,709.64 Median $11,481.54 Typical High $16,595.87 | Facility | 50 · Both sides | $8,709.64 | $11,481.54 | $16,595.87 |
Where Utah sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.