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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $10.47 | Professional | None | $7.59 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $13.80 | Professional | None | $8.91 | $11.22 | $13.80 |
Molina Setting Professional Modifier None Typical Low $6.17 Median $14.13 Typical High $30.20 | Professional | None | $6.17 | $14.13 | $30.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $16.22 | Professional | None | $13.80 | $14.79 | $16.22 |
Select Health Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $16.98 | Professional | None | $8.13 | $10.00 | $16.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $0.87 Median $10.00 Typical High $14.13 | Professional | None | $0.87 | $10.00 | $14.13 |
United Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $12.30 | Professional | None | $6.92 | $8.91 | $12.30 |
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 $3.80 Median $5.13 Typical High $5.13 | Professional | 52 · Reduced service | $3.80 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $1.55 | $2.04 | $2.04 |
Where Utah sits
The same service costs 2.6 times more in Alaska than in New York. 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· 11th of 51
$13.80
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.