How much rates vary
Facilitymedian $2,951 · 10th to 90th $437 to $13,804Professionalmedian $288 · 10th to 90th $219 to $479
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 $436.52 Median $3,162.28 Typical High $6,025.60 | Facility | None | $436.52 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | None | $338.84 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $537.03 | Professional | None | $371.54 | $416.87 | $537.03 |
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 Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $549.54 | Professional | None | $407.38 | $457.09 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $524.81 Typical High $616.60 | Professional | None | $346.74 | $524.81 | $616.60 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $288.40 Median $478.63 Typical High $1,023.29 | Professional | None | $288.40 | $478.63 | $1,023.29 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $602.56 | Professional | None | $295.12 | $338.84 | $602.56 |
3 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 54 · Surgery only Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $33.88 | $43.65 | $43.65 |
Where Utah sits
The same service costs 8.5 times more in Alabama than in Arkansas. 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
AL $7,616AR $899
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.