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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | None | $36.31 | $36.31 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $39.81 | Professional | None | $27.54 | $33.88 | $39.81 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $33.88 | Professional | None | $23.44 | $28.18 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | None | $52.48 | $63.10 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $77.62 | Professional | None | $37.15 | $52.48 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $58.88 Typical High $77.62 | Professional | None | $34.67 | $58.88 | $77.62 |
United Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $41.69 | Professional | None | $26.30 | $32.36 | $41.69 |
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 $18.20 Median $18.20 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.71 |
Where Utah sits
The same service costs 2.6 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
$32.36
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.