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 $72.44 Median $72.44 Typical High $81.28 | Facility | None | $72.44 | $72.44 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $109.65 | Professional | None | $67.61 | $79.43 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $229.09 | Facility | None | $70.79 | $85.11 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $208.93 | Professional | None | $39.81 | $58.88 | $208.93 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $102.33 | Professional | None | $72.44 | $83.18 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $117.49 | Facility | None | $61.66 | $81.28 | $117.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $128.82 | Professional | None | $87.10 | $97.72 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $186.21 | Professional | None | $79.43 | $109.65 | $186.21 |
United Setting Professional Modifier None Typical Low $48.98 Median $93.33 Typical High $144.54 | Professional | None | $48.98 | $93.33 | $144.54 |
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 Facility Modifier 52 · Reduced service Typical Low $36.31 Median $39.81 Typical High $257.04 | Facility | 52 · Reduced service | $36.31 | $39.81 | $257.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $14.45 Median $16.22 Typical High $102.33 | Facility | 53 · Discontinued | $14.45 | $16.22 | $102.33 |
Where Utah sits
The same service costs 4.5 times more in Alaska 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· 36th of 51
$87.10
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.