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 $14.79 Median $14.79 Typical High $57.54 | Facility | None | $14.79 | $14.79 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $30.90 Typical High $66.07 | Professional | None | $13.49 | $30.90 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $47.86 Typical High $64.57 | Professional | None | $16.60 | $47.86 | $64.57 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $35.48 | Professional | None | $23.44 | $28.18 | $35.48 |
Regence BlueShield Setting Professional Modifier None Typical Low $11.75 Median $25.70 Typical High $64.57 | Professional | None | $11.75 | $25.70 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Select Health Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $51.29 | Professional | None | $13.80 | $25.12 | $51.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $14.45 Median $58.88 Typical High $100.00 | Professional | None | $14.45 | $58.88 | $100.00 |
United Setting Professional Modifier None Typical Low $12.02 Median $41.69 Typical High $87.10 | Professional | None | $12.02 | $41.69 | $87.10 |
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 53 · Discontinued Typical Low $2.95 Median $3.39 Typical High $11.48 | Professional | 53 · Discontinued | $2.95 | $3.39 | $11.48 |
Where Utah sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 36th of 51
$28.18
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.