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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | None | $14.45 | $14.45 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $16.60 | Professional | None | $12.02 | $14.45 | $16.60 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None | $23.44 | $27.54 | $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 $23.99 Median $28.18 Typical High $28.18 | Professional | None | $23.99 | $28.18 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $35.48 | Professional | None | $16.98 | $22.39 | $35.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $35.48 | Professional | None | $15.49 | $28.18 | $35.48 |
United Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $19.05 | Professional | None | $11.75 | $13.49 | $19.05 |
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 $7.24 Median $7.24 Typical High $10.00 | Professional | 52 · Reduced service | $7.24 | $7.24 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.98 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.98 |
Where Utah sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 9th of 51
$25.70
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.