How much rates vary
Facilitymedian $7,943 · 10th to 90th $676 to $24,547Professionalmedian $4,571 · 10th to 90th $550 to $8,913
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 $676.08 Median $6,025.60 Typical High $8,511.38 | Facility | None | $676.08 | $6,025.60 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $4,466.84 Typical High $6,309.57 | Professional | None | $478.63 | $4,466.84 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,317.64 | Facility | None | $7,762.47 | $8,128.31 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $4,786.30 Typical High $8,128.31 | Professional | None | $616.60 | $4,786.30 | $8,128.31 |
Molina Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $5,754.40 | Professional | None | $1,230.27 | $3,235.94 | $5,754.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $18,197.01 Median $23,442.29 Typical High $33,884.42 | Facility | None | $18,197.01 | $23,442.29 | $33,884.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $1,318.26 Typical High $10,471.29 | Professional | None | $549.54 | $1,318.26 | $10,471.29 |
Select Health Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Select Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $575.44 Median $6,918.31 Typical High $14,454.40 | Professional | None | $575.44 | $6,918.31 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $11,481.54 | Facility | None | $2,691.53 | $11,481.54 | $11,481.54 |
United Setting Professional Modifier None Typical Low $446.68 Median $4,365.16 Typical High $9,549.93 | Professional | None | $446.68 | $4,365.16 | $9,549.93 |
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 $338.84 Median $645.65 Typical High $3,162.28 | Professional | 52 · Reduced service | $338.84 | $645.65 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $263.03 Typical High $1,258.93 | Professional | 53 · Discontinued | $134.90 | $263.03 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $977.24 Typical High $4,786.30 | Professional | 54 · Surgery only | $512.86 | $977.24 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $194.98 Typical High $954.99 | Professional | 55 · Aftercare only | $102.33 | $194.98 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $131.83 Typical High $630.96 | Professional | 56 · Pre-op care only | $67.61 | $131.83 | $630.96 |
Where Utah sits
The same service costs 4.3 times more in Alabama than in Maine. 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
AL $20,420ME $4,758
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.