How much rates vary
Facilitymedian $16,218 · 10th to 90th $575 to $42,658Professionalmedian $275 · 10th to 90th $35 to $575
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 $575.44 Median $3,388.44 Typical High $6,025.60 | Facility | None | $575.44 | $3,388.44 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $575.44 | Professional | None | $380.19 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $17,782.79 Median $18,197.01 Typical High $18,620.87 | Facility | None | $17,782.79 | $18,197.01 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $575.44 | Professional | None | $478.63 | $501.19 | $575.44 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $257.04 Typical High $323.59 | Professional | None | $33.88 | $257.04 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $28,840.32 Median $36,307.81 Typical High $52,480.75 | Facility | None | $28,840.32 | $36,307.81 | $52,480.75 |
Regence BlueShield Setting Professional Modifier None Typical Low $616.60 Median $645.65 Typical High $724.44 | Professional | None | $616.60 | $645.65 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $2,691.53 | Professional | None | $416.87 | $524.81 | $2,691.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $354.81 Median $645.65 Typical High $1,258.93 | Professional | None | $354.81 | $645.65 | $1,258.93 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $16,218.10 Typical High $26,915.35 | Facility | None | $3,235.94 | $16,218.10 | $26,915.35 |
United Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $691.83 | Professional | None | $346.74 | $398.11 | $691.83 |
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 $223.87 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $223.87 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $89.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $67.61 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $44.67 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $316.23 | $407.38 | $407.38 |
Where Utah sits
The same service costs 29.4 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 $37,066MT $1,262
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.