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 $1.86 Median $2.09 Typical High $2.51 | Facility | None | $1.86 | $2.09 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.09 Typical High $2.51 | Professional | None | $1.86 | $2.09 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $60.26 Typical High $60.26 | Professional | None | $4.37 | $60.26 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $72.44 | Facility | None | $41.69 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.40 Median $2.69 Typical High $3.02 | Professional | None | $2.40 | $2.69 | $3.02 |
Select Health Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Select Health Setting Professional Modifier None Typical Low $1.82 Median $2.51 Typical High $3.55 | Professional | None | $1.82 | $2.51 | $3.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2.19 Median $3.09 Typical High $4.47 | Professional | None | $2.19 | $3.09 | $4.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $2.82 | Professional | None | $1.91 | $2.34 | $2.82 |
5 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 $1.23 Median $1.23 Typical High $1.23 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.49 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $2.45 Median $2.45 Typical High $2.51 | Professional | AF · Specialist physician | $2.45 | $2.45 | $2.51 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $1.86 Median $1.86 Typical High $1.91 | Professional | HO · Master's level | $1.86 | $1.86 | $1.91 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $2.09 Median $2.09 Typical High $2.14 | Professional | TD · Registered nurse | $2.09 | $2.09 | $2.14 |
Where Utah sits
The same service costs 2.2 times more in North Dakota 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· 17th of 51
$2.45
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.