How much rates vary
Facilitymedian $5,754 · 10th to 90th $437 to $15,136Professionalmedian $263 · 10th to 90th $200 to $427
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 $4,570.88 Typical High $8,912.51 | Facility | None | $436.52 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $436.52 | Professional | None | $288.40 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,981.07 Typical High $4,073.80 | Facility | None | $3,801.89 | $3,981.07 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $467.74 | Professional | None | $323.59 | $426.58 | $467.74 |
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 $10,232.93 Median $13,489.63 Typical High $16,218.10 | Facility | None | $10,232.93 | $13,489.63 | $16,218.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $457.09 | Professional | None | $346.74 | $398.11 | $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 $234.42 Median $389.05 Typical High $575.44 | Professional | None | $234.42 | $389.05 | $575.44 |
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 $257.04 Median $302.00 Typical High $562.34 | Professional | None | $257.04 | $302.00 | $562.34 |
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 $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $144.54 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $57.54 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $213.80 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $42.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $28.84 | $43.65 | $43.65 |
Where Utah sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.