How much rates vary
Facilitymedian $4,571 · 10th to 90th $661 to $12,882Professionalmedian $389 · 10th to 90th $295 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 $660.69 Median $4,570.88 Typical High $8,912.51 | Facility | None | $660.69 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $660.69 | Professional | None | $446.68 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $4,466.84 | Facility | None | $4,265.80 | $4,365.16 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $776.25 | Professional | None | $524.81 | $645.65 | $776.25 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $398.11 | Professional | None | $295.12 | $338.84 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,302.69 Typical High $17,782.79 | Facility | None | $9,120.11 | $12,302.69 | $17,782.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $741.31 | Professional | None | $562.34 | $630.96 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $1,023.29 | Professional | None | $478.63 | $870.96 | $1,023.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,380.38 | Professional | None | $389.05 | $645.65 | $1,380.38 |
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 $426.58 Median $478.63 Typical High $870.96 | Professional | None | $426.58 | $478.63 | $870.96 |
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 $239.88 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $239.88 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $354.81 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $70.79 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $47.86 | $66.07 | $66.07 |
Where Utah sits
The same service costs 6.1 times more in Alaska 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
AK $8,625MT $1,416
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.