How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,259 to $22,387Professionalmedian $537 · 10th to 90th $85 to $1,202
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 $1,258.93 Median $4,570.88 Typical High $9,772.37 | Facility | None | $1,258.93 | $4,570.88 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,737.80 | Professional | None | $812.83 | $1,258.93 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $6,025.60 Typical High $6,165.95 | Facility | None | $5,888.44 | $6,025.60 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,548.82 | Professional | None | $954.99 | $1,202.26 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $524.81 Typical High $691.83 | Professional | None | $83.18 | $524.81 | $691.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $16,218.10 Median $21,379.62 Typical High $30,902.95 | Facility | None | $16,218.10 | $21,379.62 | $30,902.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,230.27 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,737.80 | Professional | None | $645.65 | $1,202.26 | $1,737.80 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $6,918.31 Typical High $15,848.93 | Facility | None | $2,398.83 | $6,918.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,737.80 | Professional | None | $776.25 | $1,000.00 | $1,737.80 |
2 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 54 · Surgery only Typical Low $588.84 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $588.84 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $549.54 | $870.96 | $870.96 |
Where Utah sits
The same service costs 6.1 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 $15,685MT $2,577
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.