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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $89.13 | Professional | None | $74.13 | $87.10 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | None | $54.95 | $54.95 | $114.82 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $100.00 | Professional | None | $72.44 | $83.18 | $100.00 |
Regence BlueShield Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $186.21 | Facility | None | $117.49 | $141.25 | $186.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $117.49 | Professional | None | $100.00 | $104.71 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $102.33 Typical High $114.82 | Professional | None | $91.20 | $102.33 | $114.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $194.98 | Professional | None | $89.13 | $134.90 | $194.98 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $100.00 | Professional | None | $77.62 | $87.10 | $100.00 |
1 more rate 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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Where Utah sits
The same service costs 3.3 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· 22nd of 51
$87.10
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.