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 $14.13 Median $14.13 Typical High $44.67 | Facility | None | $14.13 | $14.13 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $51.29 | Professional | None | $12.30 | $22.91 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $40.74 Typical High $54.95 | Professional | None | $15.85 | $40.74 | $54.95 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $77.62 | Professional | None | $20.89 | $31.62 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $19.05 | Professional | None | $12.59 | $15.85 | $19.05 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $15.14 Median $46.77 Typical High $77.62 | Professional | None | $15.14 | $46.77 | $77.62 |
United Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $57.54 | Professional | None | $11.48 | $34.67 | $57.54 |
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 $7.08 Median $11.22 Typical High $22.39 | Professional | 52 · Reduced service | $7.08 | $11.22 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $4.47 Typical High $9.12 | Professional | 53 · Discontinued | $2.82 | $4.47 | $9.12 |
Where Utah sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 44th of 51
$28.18
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.