How much rates vary
Facilitymedian $3,715 · 10th to 90th $295 to $7,943Professionalmedian $234 · 10th to 90th $174 to $407
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 $295.12 Median $3,388.44 Typical High $6,025.60 | Facility | None | $295.12 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $309.03 | Professional | None | $239.88 | $295.12 | $309.03 |
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 $295.12 Median $316.23 Typical High $501.19 | Professional | None | $295.12 | $316.23 | $501.19 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $234.42 | Professional | None | $169.82 | $194.98 | $234.42 |
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 $309.03 Median $363.08 Typical High $416.87 | Professional | None | $309.03 | $363.08 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Select Health Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $501.19 | Professional | None | $173.78 | $346.74 | $501.19 |
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 $229.09 Median $269.15 Typical High $512.86 | Professional | None | $229.09 | $269.15 | $512.86 |
5 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 $128.82 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $52.48 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $218.78 Typical High $218.78 | Professional | 54 · Surgery only | $194.98 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $43.65 Typical High $43.65 | Professional | 55 · Aftercare only | $38.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | 56 · Pre-op care only | $25.70 | $29.51 | $29.51 |
Where Utah sits
The same service costs 8.5 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 $6,252MT $735
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.