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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $18.20 | Professional | None | $13.18 | $16.60 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $19.05 Typical High $21.38 | Professional | None | $12.88 | $19.05 | $21.38 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $60.26 | Professional | None | $30.90 | $33.11 | $60.26 |
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 $20.89 Median $22.39 Typical High $24.55 | Professional | None | $20.89 | $22.39 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Select Health Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $21.38 | Professional | None | $12.02 | $16.60 | $21.38 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $24.55 | Professional | None | $10.96 | $17.38 | $24.55 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $22.91 | Professional | None | $13.18 | $16.22 | $22.91 |
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 $6.61 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $6.61 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.63 | $3.31 | $3.31 |
Where Utah sits
The same service costs 3.0 times more in Minnesota 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· 13th of 51
$20.89
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.