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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $223.87 | Professional | None | $43.65 | $43.65 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $426.58 | Professional | None | $239.88 | $269.15 | $426.58 |
Molina Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $269.15 | Professional | None | $186.21 | $218.78 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $512.86 | Professional | None | $436.52 | $467.74 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $5,011.87 | Professional | None | $245.47 | $363.08 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $436.52 | Professional | None | $275.42 | $363.08 | $436.52 |
United Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $354.81 | Professional | None | $37.15 | $50.12 | $354.81 |
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 $21.88 Median $21.88 Typical High $63.10 | Professional | 52 · Reduced service | $21.88 | $21.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $25.12 | Professional | 53 · Discontinued | $8.71 | $8.71 | $25.12 |
Where Utah sits
The same service costs 13.5 times more in Minnesota 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· 26th of 51
$240
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.