How much rates vary
Facilitymedian $617 · 10th to 90th $209 to $4,467Professionalmedian $195 · 10th to 90th $30 to $363
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 $316.23 Median $2,951.21 Typical High $4,570.88 | Facility | None | $316.23 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $331.13 | Professional | None | $316.23 | $323.59 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $208.93 | Facility | None | $199.53 | $204.17 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $512.86 | Professional | None | $269.15 | $363.08 | $512.86 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $165.96 Typical High $269.15 | Professional | None | $27.54 | $165.96 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $616.60 Typical High $891.25 | Facility | None | $478.63 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $489.78 | Professional | None | $407.38 | $436.52 | $489.78 |
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 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $208.93 Median $446.68 Typical High $588.84 | Professional | None | $208.93 | $446.68 | $588.84 |
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 $257.04 Median $316.23 Typical High $512.86 | Professional | None | $257.04 | $316.23 | $512.86 |
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 $158.49 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $158.49 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $223.87 | $223.87 | $223.87 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $707.95 Median $933.25 Typical High $1,348.96 | Facility | 50 · Both sides | $707.95 | $933.25 | $1,348.96 |
Where Utah sits
The same service costs 7.4 times more in Hawaii than in Florida. 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 $3,255FL $440
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.