How much rates vary
Facilitymedian $3,162 · 10th to 90th $295 to $5,012Professionalmedian $437 · 10th to 90th $251 to $661
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 $295.12 Median $3,388.44 Typical High $6,025.60 | Facility | None | $295.12 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $295.12 Typical High $616.60 | Professional | None | $194.98 | $295.12 | $616.60 |
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 $269.15 Median $281.84 Typical High $758.58 | Professional | None | $269.15 | $281.84 | $758.58 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $549.54 | Professional | None | $380.19 | $457.09 | $549.54 |
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 $239.88 Median $602.56 Typical High $707.95 | Professional | None | $239.88 | $602.56 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $1,202.26 | Professional | None | $204.17 | $407.38 | $1,202.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $239.88 Median $691.83 Typical High $1,148.15 | Professional | None | $239.88 | $691.83 | $1,148.15 |
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 $190.55 Median $354.81 Typical High $758.58 | Professional | None | $190.55 | $354.81 | $758.58 |
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 $147.91 Typical High $288.40 | Professional | 52 · Reduced service | $102.33 | $147.91 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $58.88 Typical High $114.82 | Professional | 53 · Discontinued | $40.74 | $58.88 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $223.87 Typical High $426.58 | Professional | 54 · Surgery only | $154.88 | $223.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $44.67 Typical High $87.10 | Professional | 55 · Aftercare only | $30.90 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $29.51 Typical High $57.54 | Professional | 56 · Pre-op care only | $20.42 | $29.51 | $57.54 |
Where Utah sits
The same service costs 4.1 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 $4,142MT $1,002
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.