How much rates vary
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 $95.50 Median $2,951.21 Typical High $4,570.88 | Facility | None | $95.50 | $2,951.21 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $147.91 | Professional | None | $77.62 | $104.71 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $77.62 | Facility | None | $72.44 | $75.86 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $186.21 | Professional | None | $102.33 | $134.90 | $186.21 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | None | $72.44 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,258.93 Median $1,778.28 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,778.28 | $2,630.27 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $190.55 | Professional | None | $100.00 | $147.91 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $154.88 Typical High $234.42 | Professional | None | $64.57 | $154.88 | $234.42 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,202.26 Typical High $2,818.38 | Facility | None | $251.19 | $1,202.26 | $2,818.38 |
United Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $218.78 | Professional | None | $81.28 | $120.23 | $218.78 |
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 52 · Reduced service Typical Low $45.71 Median $50.12 Typical High $72.44 | Professional | 52 · Reduced service | $45.71 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $29.51 | Professional | 53 · Discontinued | $18.20 | $20.42 | $29.51 |
Where Utah sits
The same service costs 2.8 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· 48th of 51
$107
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.