How much rates vary
Facilitymedian $5,129 · 10th to 90th $776 to $9,120Professionalmedian $437 · 10th to 90th $59 to $759
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 $776.25 Median $4,570.88 Typical High $9,120.11 | Facility | None | $776.25 | $4,570.88 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | None | $776.25 | $776.25 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,995.26 | $2,041.74 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,348.96 | Professional | None | $588.84 | $891.25 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $416.87 Typical High $616.60 | Professional | None | $56.23 | $416.87 | $616.60 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $7,762.47 Typical High $11,220.18 | Facility | None | $6,025.60 | $7,762.47 | $11,220.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,071.52 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $2,089.30 | Professional | None | $616.60 | $1,148.15 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $4,168.69 Typical High $8,317.64 | Facility | None | $1,288.25 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,348.96 | Professional | None | $645.65 | $776.25 | $1,348.96 |
1 more rate 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 |
|---|---|---|---|---|---|
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $9,120.11 Median $11,748.98 Typical High $16,982.44 | Facility | 50 · Both sides | $9,120.11 | $11,748.98 | $16,982.44 |
Where Utah sits
The same service costs 3.6 times more in Vermont 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
VT $8,561MT $2,405
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.