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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | None | $22.39 | $22.39 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $25.70 | Professional | None | $19.50 | $20.42 | $25.70 |
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 $34.67 Median $40.74 Typical High $40.74 | Professional | None | $34.67 | $40.74 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $50.12 | Professional | None | $23.99 | $32.36 | $50.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $48.98 | Professional | None | $24.55 | $40.74 | $48.98 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $28.18 | Professional | None | $14.79 | $22.91 | $28.18 |
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 $11.22 Median $11.22 Typical High $14.45 | Professional | 52 · Reduced service | $11.22 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.75 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.75 |
Where Utah sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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· 37th of 51
$27.54
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.