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 $38.02 Median $38.02 Typical High $66.07 | Facility | None | $38.02 | $38.02 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $100.00 | Professional | None | $33.11 | $51.29 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $69.18 Typical High $141.25 | Professional | None | $40.74 | $69.18 | $141.25 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | None | $93.33 | $112.20 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Facility | None | $870.96 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $34.67 Median $87.10 Typical High $162.18 | Professional | None | $34.67 | $87.10 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $251.19 | Professional | None | $30.90 | $44.67 | $251.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $43.65 Median $141.25 Typical High $281.84 | Professional | None | $43.65 | $141.25 | $281.84 |
United Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $173.78 | Professional | None | $32.36 | $57.54 | $173.78 |
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 $18.62 Median $25.70 Typical High $46.77 | Professional | 52 · Reduced service | $18.62 | $25.70 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.23 Typical High $18.62 | Professional | 53 · Discontinued | $7.59 | $10.23 | $18.62 |
Where Utah sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 7th of 51
$105
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.