How much rates vary
Facilitymedian $603 · 10th to 90th $48 to $4,467Professionalmedian $229 · 10th to 90th $48 to $269
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $109.65 | Professional | None (both parts) | $47.86 | $47.86 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $30.20 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $17.38 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $109.65 | $138.04 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $89.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $66.07 | Professional | TC · Technical part | $38.02 | $47.86 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $22.91 | $41.69 | $61.66 |
Regence BlueShield Setting Facility Modifier None Typical Low $489.78 Median $616.60 Typical High $891.25 | Facility | None | $489.78 | $616.60 | $891.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $229.09 | $239.88 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $147.91 | $158.49 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $79.43 | $85.11 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $52.48 | $57.54 | $69.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $89.13 Typical High $158.49 | Professional | None | $44.67 | $89.13 | $158.49 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $75.86 | $95.50 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $56.23 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $33.88 | $37.15 | $57.54 |
2 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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $16.22 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $10.96 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $10.96 |
Where Utah sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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.
Utah· 2nd of 51
$229
MN $275AL $63.10
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.