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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | None | $77.62 | $77.62 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $181.97 | Professional | None | $75.86 | $75.86 | $181.97 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | None | $69.18 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $177.83 | Facility | None | $97.72 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $162.18 | Professional | None | $128.82 | $134.90 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $186.21 | Professional | None | $120.23 | $162.18 | $186.21 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $190.55 | Professional | None | $81.28 | $141.25 | $190.55 |
United Setting Professional Modifier None Typical Low $69.18 Median $114.82 Typical High $177.83 | Professional | None | $69.18 | $114.82 | $177.83 |
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 $38.90 Median $38.90 Typical High $60.26 | Professional | 52 · Reduced service | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $24.55 | Professional | 53 · Discontinued | $15.49 | $15.49 | $24.55 |
Where Utah sits
The same service costs 4.2 times more in Alaska than in Alabama. 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
$95.50
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.