How much rates vary
Facilitymedian $3,020 · 10th to 90th $81 to $6,166Professionalmedian $148 · 10th to 90th $87 to $257
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 $81.28 Median $2,951.21 Typical High $4,570.88 | Facility | None | $81.28 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $158.49 Typical High $213.80 | Professional | None | $74.13 | $158.49 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,479.11 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $295.12 | Professional | None | $104.71 | $194.98 | $295.12 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $173.78 | Professional | None | $120.23 | $141.25 | $173.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,365.16 Median $5,888.44 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,888.44 | $8,511.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $263.03 | Professional | None | $93.33 | $147.91 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $107.15 Median $229.09 Typical High $346.74 | Professional | None | $107.15 | $229.09 | $346.74 |
United Setting Facility Modifier None Typical Low $302.00 Median $1,698.24 Typical High $4,677.35 | Facility | None | $302.00 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $302.00 | Professional | None | $75.86 | $158.49 | $302.00 |
6 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 $40.74 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $40.74 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $16.22 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $60.26 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $12.02 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $8.13 | $13.49 | $16.98 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $6,606.93 Median $8,912.51 Typical High $12,882.50 | Facility | 50 · Both sides | $6,606.93 | $8,912.51 | $12,882.50 |
Where Utah sits
The same service costs 9.7 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 $4,351MT $447
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.