How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | None | $89.13 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $165.96 | Professional | None | $114.82 | $151.36 | $165.96 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $125.89 Typical High $169.82 | Facility | None | $114.82 | $125.89 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $162.18 | Professional | None | $100.00 | $117.49 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $169.82 | Professional | None | $87.10 | $107.15 | $169.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $199.53 | Professional | None | $87.10 | $138.04 | $199.53 |
United Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $165.96 | Professional | None | $79.43 | $109.65 | $165.96 |
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 $44.67 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $44.67 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $18.20 | $26.30 | $26.30 |
Where Utah sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 51st of 51
$64.57
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.