How much rates vary
Facilitymedian $3,311 · 10th to 90th $525 to $10,965Professionalmedian $457 · 10th to 90th $347 to $676
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 $524.81 Median $2,951.21 Typical High $4,570.88 | Facility | None | $524.81 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $616.60 | Professional | None | $426.58 | $524.81 | $616.60 |
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 $457.09 Median $549.54 Typical High $707.95 | Professional | None | $457.09 | $549.54 | $707.95 |
Molina Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $489.78 | Professional | None | $338.84 | $389.05 | $489.78 |
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 $436.52 Median $537.03 Typical High $758.58 | Professional | None | $436.52 | $537.03 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $281.84 Median $602.56 Typical High $870.96 | Professional | None | $281.84 | $602.56 | $870.96 |
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 $354.81 Median $446.68 Typical High $776.25 | Professional | None | $354.81 | $446.68 | $776.25 |
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 $213.80 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $213.80 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $85.11 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $389.05 Typical High $467.74 | Professional | 54 · Surgery only | $316.23 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | 55 · Aftercare only | $64.57 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $42.66 | $52.48 | $61.66 |
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 6.3 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 $7,350MT $1,166
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.