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 $27.54 Median $27.54 Typical High $77.62 | Facility | None | $27.54 | $27.54 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $77.62 | Professional | None | $27.54 | $30.90 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $75.86 Typical High $100.00 | Professional | None | $29.51 | $75.86 | $100.00 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | None | $46.77 | $56.23 | $70.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Facility | None | $478.63 | $645.65 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $24.55 Median $61.66 Typical High $93.33 | Professional | None | $24.55 | $61.66 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $27.54 Typical High $147.91 | Professional | None | $23.99 | $27.54 | $147.91 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $85.11 Typical High $147.91 | Professional | None | $27.54 | $85.11 | $147.91 |
United Setting Professional Modifier None Typical Low $21.88 Median $56.23 Typical High $107.15 | Professional | None | $21.88 | $56.23 | $107.15 |
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 $13.80 Median $15.49 Typical High $38.90 | Professional | 52 · Reduced service | $13.80 | $15.49 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $15.49 | Professional | 53 · Discontinued | $5.50 | $6.31 | $15.49 |
Where Utah sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 31st of 51
$60.26
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.