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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | None | $35.48 | $35.48 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $41.69 | Professional | None | $30.20 | $34.67 | $41.69 |
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 $478.63 Median $630.96 Typical High $812.83 | Facility | None | $478.63 | $630.96 | $812.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
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 $50.12 Typical High $77.62 | Professional | None | $37.15 | $50.12 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $40.74 Median $63.10 Typical High $77.62 | Professional | None | $40.74 | $63.10 | $77.62 |
United Setting Professional Modifier None Typical Low $17.78 Median $37.15 Typical High $45.71 | Professional | None | $17.78 | $37.15 | $45.71 |
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 $17.78 Median $17.78 Typical High $23.44 | Professional | 52 · Reduced service | $17.78 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $9.33 | Professional | 53 · Discontinued | $7.08 | $7.08 | $9.33 |
Where Utah sits
The same service costs 2.9 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· 49th of 51
$33.11
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.