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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | None | $114.82 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $194.98 | Professional | None | $131.83 | $147.91 | $194.98 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $102.33 | Professional | None | $74.13 | $85.11 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $112.20 | Facility | None | $61.66 | $77.62 | $112.20 |
Regence BlueShield Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | None | $114.82 | $123.03 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $177.83 | Professional | None | $109.65 | $120.23 | $177.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $263.03 | Professional | None | $104.71 | $165.96 | $263.03 |
United Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
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 $64.57 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.70 | $26.92 | $26.92 |
Where Utah sits
The same service costs 2.7 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· 47th of 51
$102
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.