How much rates vary
Facilitymedian $9,550 · 10th to 90th $794 to $24,547Professionalmedian $537 · 10th to 90th $389 to $1,072
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 $794.33 Median $4,570.88 Typical High $12,302.69 | Facility | None | $794.33 | $4,570.88 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $794.33 | Professional | None | $588.84 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $8,511.38 Median $8,709.64 Typical High $8,912.51 | Facility | None | $8,511.38 | $8,709.64 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,258.93 | Professional | None | $660.69 | $724.44 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $389.05 Median $446.68 Typical High $537.03 | Professional | None | $389.05 | $446.68 | $537.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $18,197.01 Median $23,442.29 Typical High $33,884.42 | Facility | None | $18,197.01 | $23,442.29 | $33,884.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,621.81 | Professional | None | $912.01 | $1,071.52 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $426.58 Median $933.25 Typical High $1,778.28 | Professional | None | $426.58 | $933.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $11,481.54 Typical High $24,547.09 | Facility | None | $2,691.53 | $11,481.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $1,202.26 | Professional | None | $537.03 | $630.96 | $1,202.26 |
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 $295.12 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $295.12 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $446.68 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $89.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $58.88 | $79.43 | $79.43 |
Where Utah sits
The same service costs 9.8 times more in Alaska 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
AK $17,480MT $1,783
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.