How much rates vary
Facilitymedian $3,981 · 10th to 90th $490 to $19,953Professionalmedian $437 · 10th to 90th $324 to $646
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 $489.78 Median $2,951.21 Typical High $4,570.88 | Facility | None | $489.78 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $588.84 | Professional | None | $416.87 | $489.78 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $6,025.60 | Facility | None | $5,623.41 | $5,888.44 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $691.83 | Professional | None | $446.68 | $537.03 | $691.83 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $457.09 | Professional | None | $316.23 | $363.08 | $457.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $15,135.61 Median $19,054.61 Typical High $27,542.29 | Facility | None | $15,135.61 | $19,054.61 | $27,542.29 |
Regence BlueShield Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $724.44 | Professional | None | $426.58 | $524.81 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $263.03 Median $575.44 Typical High $851.14 | Professional | None | $263.03 | $575.44 | $851.14 |
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 $346.74 Median $426.58 Typical High $741.31 | Professional | None | $346.74 | $426.58 | $741.31 |
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 $208.93 Median $245.47 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $97.72 Typical High $117.49 | Professional | 53 · Discontinued | $83.18 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $363.08 Typical High $436.52 | Professional | 54 · Surgery only | $309.03 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $72.44 Typical High $87.10 | Professional | 55 · Aftercare only | $61.66 | $72.44 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $48.98 Typical High $58.88 | Professional | 56 · Pre-op care only | $41.69 | $48.98 | $58.88 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $22,387.21 Median $28,840.32 Typical High $41,686.94 | Facility | 50 · Both sides | $22,387.21 | $28,840.32 | $41,686.94 |
Where Utah sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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 $10,585DE $1,135
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.