How much rates vary
Facilitymedian $3,162 · 10th to 90th $347 to $7,413Professionalmedian $166 · 10th to 90th $123 to $398
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 $346.74 Median $4,570.88 Typical High $9,772.37 | Facility | None | $346.74 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $346.74 | Professional | None | $204.17 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,023.29 Typical High $1,023.29 | Facility | None | $977.24 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $416.87 Typical High $436.52 | Professional | None | $239.88 | $416.87 | $436.52 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $169.82 | Professional | None | $120.23 | $138.04 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,388.44 Typical High $4,897.79 | Facility | None | $2,454.71 | $3,388.44 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $346.74 | Professional | None | $251.19 | $295.12 | $346.74 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $2,041.74 | Professional | None | $144.54 | $295.12 | $2,041.74 |
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 $186.21 Median $288.40 Typical High $436.52 | Professional | None | $186.21 | $288.40 | $436.52 |
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 $102.33 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $102.33 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $40.74 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $151.36 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $30.90 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $20.42 | $34.67 | $34.67 |
Where Utah sits
The same service costs 7.6 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 $4,681MT $618
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.