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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $32.36 | Professional | None | $23.44 | $28.18 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $42.66 | Professional | None | $26.30 | $33.11 | $42.66 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $60.26 | Professional | None | $56.23 | $58.88 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $47.86 | Professional | None | $40.74 | $43.65 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $38.90 | Professional | None | $24.55 | $33.88 | $38.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $45.71 | Professional | None | $22.39 | $33.11 | $45.71 |
United Setting Professional Modifier None Typical Low $22.39 Median $26.92 Typical High $36.31 | Professional | None | $22.39 | $26.92 | $36.31 |
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 $12.02 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $12.02 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $5.75 | $5.75 |
Where Utah sits
The same service costs 2.8 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· 10th of 51
$40.74
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.