How much rates vary
Facilitymedian $3,311 · 10th to 90th $240 to $7,413Professionalmedian $646 · 10th to 90th $229 to $1,148
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 $239.88 Median $2,884.03 Typical High $4,786.30 | Facility | None | $239.88 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $707.95 Typical High $1,148.15 | Professional | None | $199.53 | $707.95 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,949.84 | $2,041.74 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $831.76 Typical High $1,318.26 | Professional | None | $229.09 | $831.76 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $776.25 | Professional | None | $524.81 | $630.96 | $776.25 |
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 $251.19 Median $933.25 Typical High $1,230.27 | Professional | None | $251.19 | $933.25 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $263.03 Median $954.99 Typical High $1,479.11 | Professional | None | $263.03 | $954.99 | $1,479.11 |
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 $194.98 Median $630.96 Typical High $1,348.96 | Professional | None | $194.98 | $630.96 | $1,348.96 |
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 $120.23 Median $229.09 Typical High $501.19 | Professional | 52 · Reduced service | $120.23 | $229.09 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $91.20 Typical High $204.17 | Professional | 53 · Discontinued | $47.86 | $91.20 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $346.74 Typical High $758.58 | Professional | 54 · Surgery only | $181.97 | $346.74 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $69.18 Typical High $151.36 | Professional | 55 · Aftercare only | $36.31 | $69.18 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $45.71 Typical High $102.33 | Professional | 56 · Pre-op care only | $23.99 | $45.71 | $102.33 |
Where Utah sits
The same service costs 3.8 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 $5,124MT $1,344
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.