How much rates vary
Facilitymedian $3,311 · 10th to 90th $447 to $10,965Professionalmedian $407 · 10th to 90th $295 to $603
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 $446.68 Median $2,951.21 Typical High $4,570.88 | Facility | None | $446.68 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $549.54 | Professional | None | $380.19 | $446.68 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,235.94 Typical High $3,311.31 | Facility | None | $3,090.30 | $3,235.94 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $645.65 | Professional | None | $407.38 | $489.78 | $645.65 |
Molina Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $416.87 | Professional | None | $295.12 | $338.84 | $416.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $10,471.29 Typical High $15,135.61 | Facility | None | $7,943.28 | $10,471.29 | $15,135.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $691.83 | Professional | None | $389.05 | $489.78 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $794.33 | Professional | None | $245.47 | $549.54 | $794.33 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $691.83 | Professional | None | $316.23 | $398.11 | $691.83 |
6 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 $190.55 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $75.86 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $338.84 Typical High $407.38 | Professional | 54 · Surgery only | $288.40 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $67.61 Typical High $81.28 | Professional | 55 · Aftercare only | $57.54 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.02 | $44.67 | $54.95 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $12,022.64 Median $15,848.93 Typical High $22,908.68 | Facility | 50 · Both sides | $12,022.64 | $15,848.93 | $22,908.68 |
Where Utah sits
The same service costs 7.0 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 $7,286MT $1,039
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.