How much rates vary
Facilitymedian $11,482 · 10th to 90th $759 to $38,905Professionalmedian $6,310 · 10th to 90th $646 to $11,749
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 $758.58 Median $6,025.60 Typical High $10,232.93 | Facility | None | $758.58 | $6,025.60 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $4,570.88 Typical High $9,332.54 | Professional | None | $562.34 | $4,570.88 | $9,332.54 |
Cigna Setting Facility Modifier None Typical Low $14,125.38 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,125.38 | $14,791.08 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $5,623.41 Typical High $10,232.93 | Professional | None | $676.08 | $5,623.41 | $10,232.93 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $6,456.54 Typical High $13,182.57 | Professional | None | $1,202.26 | $6,456.54 | $13,182.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $29,512.09 Median $37,153.52 Typical High $53,703.18 | Facility | None | $29,512.09 | $37,153.52 | $53,703.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $1,584.89 Typical High $14,791.08 | Professional | None | $660.69 | $1,584.89 | $14,791.08 |
Select Health Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Select Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $691.83 Median $8,709.64 Typical High $22,387.21 | Professional | None | $691.83 | $8,709.64 | $22,387.21 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $11,481.54 Typical High $26,915.35 | Facility | None | $3,235.94 | $11,481.54 | $26,915.35 |
United Setting Professional Modifier None Typical Low $524.81 Median $5,248.07 Typical High $11,481.54 | Professional | None | $524.81 | $5,248.07 | $11,481.54 |
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 $380.19 Median $776.25 Typical High $4,677.35 | Professional | 52 · Reduced service | $380.19 | $776.25 | $4,677.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $309.03 Typical High $1,862.09 | Professional | 53 · Discontinued | $154.88 | $309.03 | $1,862.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $1,174.90 Typical High $7,079.46 | Professional | 54 · Surgery only | $575.44 | $1,174.90 | $7,079.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $234.42 Typical High $1,412.54 | Professional | 55 · Aftercare only | $114.82 | $234.42 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $154.88 Typical High $933.25 | Professional | 56 · Pre-op care only | $75.86 | $154.88 | $933.25 |
Where Utah sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.