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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $31.62 | Professional | None | $26.30 | $29.51 | $31.62 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $33.88 | Professional | None | $23.44 | $28.18 | $33.88 |
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 $43.65 Median $51.29 Typical High $51.29 | Professional | None | $43.65 | $51.29 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $48.98 | Professional | None | $30.90 | $40.74 | $48.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $239.88 | Professional | None | $32.36 | $54.95 | $239.88 |
United Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $38.02 | Professional | None | $17.78 | $29.51 | $38.02 |
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 $16.22 Median $16.22 Typical High $19.05 | Professional | 52 · Reduced service | $16.22 | $16.22 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.59 |
Where Utah sits
The same service costs 3.4 times more in Alaska 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· 44th 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.