How much rates vary
Facilitymedian $3,311 · 10th to 90th $257 to $6,457Professionalmedian $575 · 10th to 90th $55 to $813
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 $257.04 Median $2,884.03 Typical High $4,786.30 | Facility | None | $257.04 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $691.83 Typical High $741.31 | Professional | None | $257.04 | $691.83 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,288.25 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,288.25 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $489.78 Typical High $812.83 | Professional | None | $257.04 | $489.78 | $812.83 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $575.44 Typical High $776.25 | Professional | None | $53.70 | $575.44 | $776.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $6,918.31 | Facility | None | $3,630.78 | $4,786.30 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $194.98 Median $549.54 Typical High $1,174.90 | Professional | None | $194.98 | $549.54 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $204.17 Median $1,023.29 Typical High $1,445.44 | Professional | None | $204.17 | $1,023.29 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,079.46 | Facility | None | $1,000.00 | $3,311.31 | $7,079.46 |
United Setting Professional Modifier None Typical Low $154.88 Median $524.81 Typical High $1,148.15 | Professional | None | $154.88 | $524.81 | $1,148.15 |
3 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 54 · Surgery only Typical Low $194.98 Median $251.19 Typical High $524.81 | Professional | 54 · Surgery only | $194.98 | $251.19 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $234.42 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $181.97 | $234.42 | $489.78 |
Regence BlueShield Setting Facility Modifier 50 · Both sides Typical Low $5,495.41 Median $7,244.36 Typical High $10,471.29 | Facility | 50 · Both sides | $5,495.41 | $7,244.36 | $10,471.29 |
Where Utah sits
The same service costs 3.5 times more in Colorado 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
CO $4,667MT $1,347
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.