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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $186.21 | Professional | None | $162.18 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $263.03 | Professional | None | $186.21 | $213.80 | $263.03 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | None | $123.03 | $141.25 | $173.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $173.78 Median $186.21 Typical High $239.88 | Professional | None | $173.78 | $186.21 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $269.15 | Professional | None | $169.82 | $181.97 | $269.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $354.81 | Professional | None | $151.36 | $239.88 | $354.81 |
United Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | None | $141.25 | $169.82 | $269.15 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
Where Utah sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 33rd of 51
$178
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.