How much rates vary
Facilitymedian $3,020 · 10th to 90th $525 to $7,413Professionalmedian $331 · 10th to 90th $245 to $617
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 $3,162.28 Typical High $4,570.88 | Facility | None | $524.81 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $524.81 | Professional | None | $380.19 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,570.40 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $691.83 | Professional | None | $436.52 | $501.19 | $691.83 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $338.84 | Professional | None | $245.47 | $281.84 | $338.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,623.41 Median $7,079.46 Typical High $10,232.93 | Facility | None | $5,623.41 | $7,079.46 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $457.09 Median $537.03 Typical High $707.95 | Professional | None | $457.09 | $537.03 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $549.54 Typical High $794.33 | Professional | None | $257.04 | $549.54 | $794.33 |
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 $338.84 Median $436.52 Typical High $776.25 | Professional | None | $338.84 | $436.52 | $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 $186.21 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $186.21 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $75.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $281.84 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $79.43 Typical High $79.43 | Professional | 55 · Aftercare only | $56.23 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $38.02 | $52.48 | $52.48 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $8,317.64 Median $10,715.19 Typical High $15,488.17 | Facility | 50 · Both sides | $8,317.64 | $10,715.19 | $15,488.17 |
Where Utah sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.