How much rates vary
Facilitymedian $513 · 10th to 90th $65 to $4,467Professionalmedian $79 · 10th to 90th $37 to $141
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $83.18 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $66.07 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $41.69 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $64.57 Typical High $66.07 | Facility | None | $61.66 | $64.57 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $100.00 | $117.49 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $57.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $46.77 | $61.66 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $67.61 Typical High $97.72 | Professional | None (both parts) | $33.88 | $67.61 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $891.25 | Facility | None | $489.78 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $138.04 | $162.18 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $85.11 | $147.91 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $77.62 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $39.81 Median $89.13 Typical High $204.17 | Professional | None | $39.81 | $89.13 | $204.17 |
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 $79.43 Median $104.71 Typical High $165.96 | Professional | None (both parts) | $79.43 | $104.71 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $42.66 | $50.12 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $34.67 | $45.71 | $70.79 |
4 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 $41.69 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $12.59 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $8.32 | $12.88 | $12.88 |
Where Utah sits
The same service costs 5.9 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· 49th of 51
$81.28
AK $331AL $56.23
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.