How much rates vary
Facilitymedian $1,862 · 10th to 90th $1,202 to $3,020Professionalmedian $1,148 · 10th to 90th $195 to $1,585
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,258.93 Typical High $1,778.28 | Professional | None (both parts) | $1,202.26 | $1,258.93 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $269.15 Typical High $363.08 | Professional | 26 · Professional part | $229.09 | $269.15 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,000.00 Typical High $1,380.38 | Professional | TC · Technical part | $954.99 | $1,000.00 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | None (both parts) | $194.98 | $194.98 | $218.78 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,659.59 | $2,089.30 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,148.15 Typical High $1,258.93 | Professional | None (both parts) | $1,071.52 | $1,148.15 | $1,258.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $229.09 Typical High $288.40 | Professional | 26 · Professional part | $213.80 | $229.09 | $288.40 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $870.96 | $912.01 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $4,265.80 Typical High $5,128.61 | Professional | None (both parts) | $537.03 | $4,265.80 | $5,128.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $229.09 Median $512.86 Typical High $1,621.81 | Professional | None | $229.09 | $512.86 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,698.24 Typical High $2,691.53 | Professional | None (both parts) | $954.99 | $1,698.24 | $2,691.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $223.87 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,479.11 Typical High $2,344.23 | Professional | TC · Technical part | $630.96 | $1,479.11 | $2,344.23 |
4 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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $120.23 |
Where Utah sits
The same service costs 11.2 times more in Alaska 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.
Utah· 26th of 51
$1,148
AK $3,020KY $269
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.