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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | None | $60.26 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $77.62 Typical High $81.28 | Professional | None | $72.44 | $77.62 | $81.28 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $34.67 | Professional | None | $25.12 | $28.84 | $34.67 |
Regence BlueShield Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $74.13 | Professional | None | $53.70 | $63.10 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $112.20 Typical High $128.82 | Professional | None | $53.70 | $112.20 | $128.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $120.23 | Professional | None | $54.95 | $81.28 | $120.23 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $123.03 | Professional | None | $52.48 | $75.86 | $123.03 |
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 $12.88 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.88 | $13.80 | $13.80 |
Where Utah sits
The same service costs 3.1 times more in Alaska than in New York. 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· 50th of 51
$56.23
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.