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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None | $23.44 | $27.54 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Facility | None | $478.63 | $645.65 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $41.69 | Professional | None | $35.48 | $37.15 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $70.79 | Professional | None | $32.36 | $57.54 | $70.79 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $64.57 | Professional | None | $33.88 | $44.67 | $64.57 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $50.12 | Professional | None | $24.55 | $30.20 | $50.12 |
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 $13.80 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.31 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.31 |
Where Utah sits
The same service costs 3.6 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· 41st of 51
$30.20
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.