How much rates vary
Facilitymedian $3,715 · 10th to 90th $501 to $8,128Professionalmedian $295 · 10th to 90th $224 to $490
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 $501.19 Median $3,388.44 Typical High $6,025.60 | Facility | None | $501.19 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $501.19 | Professional | None | $331.13 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,344.23 Typical High $2,398.83 | Facility | None | $2,238.72 | $2,344.23 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $575.44 | Professional | None | $380.19 | $467.74 | $575.44 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $302.00 | Professional | None | $218.78 | $251.19 | $302.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,888.44 Median $7,762.47 Typical High $11,481.54 | Facility | None | $5,888.44 | $7,762.47 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $549.54 | Professional | None | $416.87 | $467.74 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $676.08 Typical High $794.33 | Professional | None | $354.81 | $676.08 | $794.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $912.01 | Professional | None | $257.04 | $457.09 | $912.01 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $630.96 | Professional | None | $302.00 | $354.81 | $630.96 |
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 $173.78 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $173.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $263.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $52.48 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $34.67 | $50.12 | $50.12 |
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 $5,952MT $1,050
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.