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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $66.07 | Professional | None | $52.48 | $60.26 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $79.43 | Professional | None | $50.12 | $70.79 | $79.43 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | None | $46.77 | $54.95 | $67.61 |
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 $48.98 Median $51.29 Typical High $57.54 | Professional | None | $48.98 | $51.29 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $61.66 | Professional | None | $45.71 | $52.48 | $61.66 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $100.00 | Professional | None | $51.29 | $70.79 | $100.00 |
United Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $81.28 | Professional | None | $47.86 | $56.23 | $81.28 |
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 $25.70 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $10.23 | $12.02 | $12.02 |
Where Utah sits
The same service costs 2.6 times more in Nebraska 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· 28th of 51
$57.54
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.