How much rates vary
Facilitymedian $3,020 · 10th to 90th $191 to $5,012Professionalmedian $324 · 10th to 90th $170 to $501
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 $190.55 Median $3,162.28 Typical High $4,570.88 | Facility | None | $190.55 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $457.09 | Professional | None | $131.83 | $190.55 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $602.56 | Professional | None | $177.83 | $177.83 | $602.56 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $416.87 | Professional | None | $288.40 | $338.84 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $5,623.41 | Facility | None | $2,951.21 | $3,890.45 | $5,623.41 |
Regence BlueShield Setting Professional Modifier None Typical Low $162.18 Median $407.38 Typical High $562.34 | Professional | None | $162.18 | $407.38 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $912.01 | Professional | None | $138.04 | $275.42 | $912.01 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $144.54 Median $457.09 Typical High $794.33 | Professional | None | $144.54 | $457.09 | $794.33 |
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 $128.82 Median $234.42 Typical High $562.34 | Professional | None | $128.82 | $234.42 | $562.34 |
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 $67.61 Median $95.50 Typical High $208.93 | Professional | 52 · Reduced service | $67.61 | $95.50 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $83.18 | Professional | 53 · Discontinued | $27.54 | $38.90 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $144.54 Typical High $309.03 | Professional | 54 · Surgery only | $102.33 | $144.54 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $28.84 Typical High $61.66 | Professional | 55 · Aftercare only | $20.42 | $28.84 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $19.05 Typical High $41.69 | Professional | 56 · Pre-op care only | $13.80 | $19.05 | $41.69 |
Where Utah sits
The same service costs 5.7 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 $4,090MT $722
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.