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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $24.55 | Professional | None | $17.38 | $18.62 | $24.55 |
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 $93.33 Median $123.03 Typical High $154.88 | Facility | None | $93.33 | $123.03 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None | $33.11 | $38.90 | $38.90 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $47.86 | Professional | None | $22.91 | $30.90 | $47.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $47.86 | Professional | None | $21.88 | $36.31 | $47.86 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $26.30 | Professional | None | $14.45 | $19.95 | $26.30 |
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 $10.47 Median $10.47 Typical High $13.80 | Professional | 52 · Reduced service | $10.47 | $10.47 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.50 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.50 |
Where Utah sits
The same service costs 2.8 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· 28th of 51
$26.92
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.