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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | None | $39.81 | $39.81 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $67.61 | Professional | None | $46.77 | $56.23 | $67.61 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $177.83 | Facility | None | $97.72 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | None | $64.57 | $75.86 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $64.57 Typical High $97.72 | Professional | None | $46.77 | $64.57 | $97.72 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $75.86 Typical High $97.72 | Professional | None | $44.67 | $75.86 | $97.72 |
United Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $53.70 | Professional | None | $28.84 | $40.74 | $53.70 |
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 $19.95 Median $19.95 Typical High $26.92 | Professional | 52 · Reduced service | $19.95 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $10.72 | Professional | 53 · Discontinued | $7.94 | $7.94 | $10.72 |
Where Utah sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 27th of 51
$53.70
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.