How much rates vary
Facilitymedian $4,571 · 10th to 90th $692 to $12,882Professionalmedian $427 · 10th to 90th $324 to $692
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 $691.83 Median $4,570.88 Typical High $8,912.51 | Facility | None | $691.83 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $691.83 | Professional | None | $467.74 | $691.83 | $691.83 |
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 $549.54 Median $676.08 Typical High $812.83 | Professional | None | $549.54 | $676.08 | $812.83 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $436.52 | Professional | None | $316.23 | $363.08 | $436.52 |
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 $588.84 Median $660.69 Typical High $776.25 | Professional | None | $588.84 | $660.69 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $954.99 Typical High $1,122.02 | Professional | None | $501.19 | $954.99 | $1,122.02 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,445.44 | Professional | None | $407.38 | $676.08 | $1,445.44 |
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 $446.68 Median $501.19 Typical High $912.01 | Professional | None | $446.68 | $501.19 | $912.01 |
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 $245.47 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $245.47 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $371.54 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $50.12 | $69.18 | $69.18 |
Where Utah sits
The same service costs 5.9 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 $8,723MT $1,483
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.