How much rates vary
Facilitymedian $589 · 10th to 90th $162 to $4,467Professionalmedian $100 · 10th to 90th $72 to $204
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 $162.18 Median $3,162.28 Typical High $4,570.88 | Facility | None | $162.18 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $14.79 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $17.38 Typical High $17.78 | Facility | None | $16.60 | $17.38 | $17.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $141.25 | $165.96 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $125.89 | $151.36 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | TC · Technical part | $14.45 | $14.45 | $22.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $72.44 | $85.11 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $724.44 | Facility | None | $398.11 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $151.36 | $177.83 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $158.49 Typical High $181.97 | Professional | 26 · Professional part | $134.90 | $158.49 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $21.88 | Professional | TC · Technical part | $18.20 | $19.50 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $18.20 Median $120.23 Typical High $223.87 | Professional | None | $18.20 | $120.23 | $223.87 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $112.20 | $144.54 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $199.53 | Professional | 26 · Professional part | $97.72 | $117.49 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $13.49 Typical High $21.88 | Professional | TC · Technical part | $11.48 | $13.49 | $21.88 |
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 $63.10 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | 54 · Surgery only | $95.50 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $24.55 Typical High $24.55 | Professional | 55 · Aftercare only | $19.05 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $16.22 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.59 | $16.22 | $16.22 |
Where Utah sits
The same service costs 4.7 times more in Alaska than in Alabama. 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.
Utah· 48th of 51
$123
AK $490AL $105
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.