How much rates vary
Facilitymedian $2,512 · 10th to 90th $170 to $4,786Professionalmedian $1,000 · 10th to 90th $155 to $1,585
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 $169.82 Median $2,884.03 Typical High $4,786.30 | Facility | None | $169.82 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $794.33 Typical High $1,318.26 | Professional | None | $141.25 | $794.33 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $891.25 | Facility | None | $851.14 | $870.96 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $812.83 Typical High $1,348.96 | Professional | None | $165.96 | $812.83 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,258.93 | Professional | None | $851.14 | $1,023.29 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,311.31 | $4,897.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $1,778.28 | Professional | None | $147.91 | $269.15 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Select Health Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $2,089.30 | Professional | None | $125.89 | $199.53 | $2,089.30 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $147.91 Median $1,445.44 Typical High $2,238.72 | Professional | None | $147.91 | $1,445.44 | $2,238.72 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $117.49 Median $954.99 Typical High $1,737.80 | Professional | None | $117.49 | $954.99 | $1,737.80 |
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 $83.18 Median $173.78 Typical High $630.96 | Professional | 52 · Reduced service | $83.18 | $173.78 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $69.18 Typical High $257.04 | Professional | 53 · Discontinued | $33.11 | $69.18 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $263.03 Typical High $954.99 | Professional | 54 · Surgery only | $125.89 | $263.03 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $52.48 Typical High $190.55 | Professional | 55 · Aftercare only | $25.12 | $52.48 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $34.67 Typical High $125.89 | Professional | 56 · Pre-op care only | $16.60 | $34.67 | $125.89 |
Where Utah sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.