How much rates vary
Facilitymedian $1,023 · 10th to 90th $107 to $4,786Professionalmedian $191 · 10th to 90th $98 to $324
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 $107.15 Median $2,884.03 Typical High $4,786.30 | Facility | None | $107.15 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $213.80 | Professional | None | $107.15 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $213.80 | Professional | None | $97.72 | $154.88 | $213.80 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $234.42 | Professional | None | $165.96 | $199.53 | $234.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $223.87 Typical High $380.19 | Professional | None | $93.33 | $223.87 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $758.58 | Professional | None | $64.57 | $81.28 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $83.18 Median $269.15 Typical High $478.63 | Professional | None | $83.18 | $269.15 | $478.63 |
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 Typical Low $58.88 Median $131.83 Typical High $239.88 | Professional | None | $58.88 | $131.83 | $239.88 |
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 $52.48 Median $66.07 Typical High $104.71 | Professional | 52 · Reduced service | $52.48 | $66.07 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $42.66 | Professional | 53 · Discontinued | $21.38 | $26.92 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $100.00 Typical High $158.49 | Professional | 54 · Surgery only | $79.43 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $19.95 Typical High $31.62 | Professional | 55 · Aftercare only | $15.85 | $19.95 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $13.18 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.47 | $13.18 | $21.38 |
Where Utah sits
The same service costs 13.1 times more in Hawaii than in Kentucky. 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
HI $3,088KY $236
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.