How much rates vary
Facilitymedian $4,571 · 10th to 90th $977 to $8,318Professionalmedian $794 · 10th to 90th $589 to $1,380
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 $977.24 Median $4,570.88 Typical High $8,912.51 | Facility | None | $977.24 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,584.89 | Professional | None | $831.76 | $977.24 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $2,089.30 | Facility | None | $1,995.26 | $2,041.74 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,096.48 Typical High $1,698.24 | Professional | None | $1,047.13 | $1,096.48 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $812.83 | Professional | None | $575.44 | $676.08 | $812.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,786.30 Median $6,606.93 Typical High $9,549.93 | Facility | None | $4,786.30 | $6,606.93 | $9,549.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,348.96 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $660.69 Median $1,318.26 Typical High $1,698.24 | Professional | None | $660.69 | $1,318.26 | $1,698.24 |
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 $851.14 Median $1,000.00 Typical High $1,584.89 | Professional | None | $851.14 | $1,000.00 | $1,584.89 |
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 $416.87 Median $489.78 Typical High $489.78 | Professional | 52 · Reduced service | $416.87 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 53 · Discontinued | $165.96 | $194.98 | $194.98 |
Where Utah sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.