How much rates vary
Facilitymedian $56 · 10th to 90th $56 to $56Professionalmedian $724 · 10th to 90th $56 to $977
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $933.25 | Professional | None | $56.23 | $56.23 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $851.14 | Professional | None | $549.54 | $549.54 | $851.14 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $776.25 | Professional | None | $263.03 | $354.81 | $776.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $912.01 | Professional | None | $660.69 | $776.25 | $912.01 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $1,000.00 | Professional | None | $478.63 | $933.25 | $1,000.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $741.31 Median $851.14 Typical High $1,000.00 | Professional | None | $741.31 | $851.14 | $1,000.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $77.62 | Professional | None | $34.67 | $50.12 | $77.62 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.91 | $11.22 | $11.22 |