How much rates vary
Facilitymedian $2,951 · 10th to 90th $102 to $4,677Professionalmedian $457 · 10th to 90th $91 to $741
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 $102.33 Median $2,951.21 Typical High $4,570.88 | Facility | None | $102.33 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $457.09 Typical High $741.31 | Professional | None | $77.62 | $457.09 | $741.31 |
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 $100.00 Median $478.63 Typical High $741.31 | Professional | None | $100.00 | $478.63 | $741.31 |
Molina Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $549.54 | Professional | None | $380.19 | $457.09 | $549.54 |
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 $87.10 Median $588.84 Typical High $812.83 | Professional | None | $87.10 | $588.84 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $114.82 Typical High $954.99 | Professional | None | $74.13 | $114.82 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $85.11 Median $676.08 Typical High $1,174.90 | Professional | None | $85.11 | $676.08 | $1,174.90 |
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 $69.18 Median $478.63 Typical High $870.96 | Professional | None | $69.18 | $478.63 | $870.96 |
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 $48.98 Median $104.71 Typical High $371.54 | Professional | 52 · Reduced service | $48.98 | $104.71 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $41.69 Typical High $147.91 | Professional | 53 · Discontinued | $19.95 | $41.69 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $154.88 Typical High $549.54 | Professional | 54 · Surgery only | $74.13 | $154.88 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $30.90 Typical High $109.65 | Professional | 55 · Aftercare only | $14.79 | $30.90 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $20.89 Typical High $74.13 | Professional | 56 · Pre-op care only | $9.77 | $20.89 | $74.13 |
Where Utah sits
The same service costs 5.6 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 $4,728MT $843
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.