How much rates vary
Facilitymedian $4,169 · 10th to 90th $282 to $10,233Professionalmedian $603 · 10th to 90th $224 to $1,122
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 $281.84 Median $3,162.28 Typical High $8,709.64 | Facility | None | $281.84 | $3,162.28 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $562.34 Typical High $851.14 | Professional | None | $281.84 | $562.34 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Facility | None | $512.86 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $630.96 Typical High $1,047.13 | Professional | None | $251.19 | $630.96 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,659.59 | Professional | None | $489.78 | $630.96 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $6,456.54 Typical High $9,332.54 | Facility | None | $5,248.07 | $6,456.54 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $707.95 Typical High $1,148.15 | Professional | None | $229.09 | $707.95 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $131.83 Median $741.31 Typical High $1,949.84 | Professional | None | $131.83 | $741.31 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $11,481.54 | Facility | None | $1,288.25 | $4,168.69 | $11,481.54 |
United Setting Professional Modifier None Typical Low $190.55 Median $575.44 Typical High $1,230.27 | Professional | None | $190.55 | $575.44 | $1,230.27 |
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 $141.25 Median $281.84 Typical High $426.58 | Professional | 52 · Reduced service | $141.25 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $112.20 Typical High $169.82 | Professional | 53 · Discontinued | $56.23 | $112.20 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $416.87 Typical High $630.96 | Professional | 54 · Surgery only | $208.93 | $416.87 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $83.18 Typical High $125.89 | Professional | 55 · Aftercare only | $41.69 | $83.18 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $56.23 Typical High $85.11 | Professional | 56 · Pre-op care only | $28.18 | $56.23 | $85.11 |
Where Utah sits
The same service costs 6.9 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 $7,377MT $1,063
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.