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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $21.38 | Professional | None | $20.42 | $20.89 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $28.84 | Professional | None | $22.39 | $24.55 | $28.84 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None | $23.44 | $27.54 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $213.80 Median $263.03 Typical High $389.05 | Facility | None | $213.80 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $26.30 | Professional | None | $22.39 | $23.44 | $26.30 |
Select Health Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $25.70 | Professional | None | $20.89 | $22.39 | $25.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $41.69 | Professional | None | $22.39 | $29.51 | $41.69 |
United Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $28.18 | Professional | None | $18.62 | $19.50 | $28.18 |
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 $9.77 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $9.77 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.89 | $4.17 | $4.17 |
Where Utah sits
The same service costs 2.3 times more in Minnesota 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· 18th of 51
$26.30
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.