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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $218.78 | Professional | None | $131.83 | $138.04 | $218.78 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $134.90 | Professional | None | $91.20 | $109.65 | $134.90 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $251.19 | Professional | None | $213.80 | $229.09 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $213.80 | Professional | None | $120.23 | $190.55 | $213.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $229.09 | Professional | None | $131.83 | $177.83 | $229.09 |
United Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $194.98 | Professional | None | $109.65 | $138.04 | $194.98 |
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 $61.66 Median $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $25.12 | $28.84 |
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· 45th of 51
$123
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.