How much rates vary
Facilitymedian $3,162 · 10th to 90th $417 to $5,012Professionalmedian $263 · 10th to 90th $195 to $407
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 $416.87 Median $3,388.44 Typical High $6,025.60 | Facility | None | $416.87 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $416.87 | Professional | None | $281.84 | $416.87 | $416.87 |
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 $323.59 Median $389.05 Typical High $489.78 | Professional | None | $323.59 | $389.05 | $489.78 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $223.87 Typical High $269.15 | Professional | None | $194.98 | $223.87 | $269.15 |
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 $346.74 Median $389.05 Typical High $457.09 | Professional | None | $346.74 | $389.05 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $537.03 | Professional | None | $295.12 | $457.09 | $537.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $213.80 Median $380.19 Typical High $891.25 | Professional | None | $213.80 | $380.19 | $891.25 |
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 $257.04 Median $295.12 Typical High $537.03 | Professional | None | $257.04 | $295.12 | $537.03 |
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 $144.54 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $144.54 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $213.80 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $28.84 | $41.69 | $41.69 |
Where Utah sits
The same service costs 5.2 times more in Oklahoma 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
OK $4,508MT $873
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.