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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | None | $28.18 | $28.18 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $30.90 | Professional | None | $22.91 | $25.12 | $30.90 |
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 $61.66 Median $81.28 Typical High $117.49 | Facility | None | $61.66 | $81.28 | $117.49 |
Regence BlueShield Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $45.71 | Professional | None | $38.90 | $45.71 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $57.54 | Professional | None | $27.54 | $36.31 | $57.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $57.54 | Professional | None | $27.54 | $45.71 | $57.54 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $32.36 | Professional | None | $16.60 | $25.70 | $32.36 |
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 $14.13 Median $14.13 Typical High $16.22 | Professional | 52 · Reduced service | $14.13 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.46 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.46 |
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· 42nd of 51
$28.18
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.