How much rates vary
Facilitymedian $19,953 · 10th to 90th $759 to $63,096Professionalmedian $389 · 10th to 90th $56 to $776
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 $758.58 Median $3,388.44 Typical High $6,025.60 | Facility | None | $758.58 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $758.58 | Professional | None | $537.03 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $31,622.78 Median $33,113.11 Typical High $33,884.42 | Facility | None | $31,622.78 | $33,113.11 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,148.15 | Professional | None | $616.60 | $776.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $380.19 Typical High $501.19 | Professional | None | $54.95 | $380.19 | $501.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $35,481.34 Median $44,668.36 Typical High $64,565.42 | Facility | None | $35,481.34 | $44,668.36 | $64,565.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,659.59 | Professional | None | $851.14 | $1,000.00 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $416.87 Median $912.01 Typical High $1,862.09 | Professional | None | $416.87 | $912.01 | $1,862.09 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $26,915.35 Typical High $74,131.02 | Facility | None | $3,235.94 | $26,915.35 | $74,131.02 |
United Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,071.52 | Professional | None | $501.19 | $630.96 | $1,071.52 |
7 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 $269.15 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $269.15 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $407.38 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $81.28 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $380.19 | $537.03 | $537.03 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $52,480.75 Median $66,069.34 Typical High $95,499.26 | Facility | 50 · Both sides | $52,480.75 | $66,069.34 | $95,499.26 |
Where Utah sits
The same service costs 24.6 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 $43,875MT $1,787
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.