How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,514 to $10,715Professionalmedian $724 · 10th to 90th $87 to $1,479
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 $1,513.56 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,513.56 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $2,754.23 | Facility | None | $2,630.27 | $2,691.53 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,348.96 | $1,479.11 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $645.65 Typical High $912.01 | Professional | None | $85.11 | $645.65 | $912.01 |
Regence BlueShield Setting Facility Modifier None Typical Low $7,943.28 Median $10,232.93 Typical High $14,791.08 | Facility | None | $7,943.28 | $10,232.93 | $14,791.08 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,737.80 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $831.76 Median $1,737.80 Typical High $3,388.44 | Professional | None | $831.76 | $1,737.80 | $3,388.44 |
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 $1,096.48 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,096.48 | $1,288.25 | $2,454.71 |
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 $562.34 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $562.34 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $223.87 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Professional | 54 · Surgery only | $831.76 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $169.82 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $112.20 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,071.52 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $776.25 | $1,071.52 | $1,071.52 |
Where Utah sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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 $10,675KY $2,405
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.