How much rates vary
Facilitymedian $6,026 · 10th to 90th $851 to $15,136Professionalmedian $468 · 10th to 90th $49 to $724
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 $851.14 Median $4,570.88 Typical High $9,772.37 | Facility | None | $851.14 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $851.14 | Professional | None | $645.65 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $1,096.48 | Professional | None | $758.58 | $794.33 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $446.68 Typical High $575.44 | Professional | None | $48.98 | $446.68 | $575.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,120.11 Median $12,022.64 Typical High $17,378.01 | Facility | None | $9,120.11 | $12,022.64 | $17,378.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,071.52 | Professional | None | $812.83 | $954.99 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,348.96 | Professional | None | $691.83 | $1,148.15 | $1,348.96 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $2,454.71 | Professional | None | $512.86 | $933.25 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,370.32 Typical High $15,848.93 | Facility | None | $2,398.83 | $5,370.32 | $15,848.93 |
United Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,202.26 | Professional | None | $588.84 | $660.69 | $1,202.26 |
1 more rate 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 78 · Unplanned return to OR Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $467.74 | $602.56 | $602.56 |
Where Utah sits
The same service costs 5.3 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 $11,104MT $2,095
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.