How much rates vary

Facilitymedian $112 · 10th to 90th $81 to $182Professionalmedian $112 · 10th to 90th $91 to $151

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 $81.28 Median $81.28 Typical High $112.20	Facility	None	$81.28	$81.28	$112.20
Aetna Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $131.83	Professional	None	$81.28	$112.20	$131.83
Cigna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $147.91	Professional	None	$91.20	$125.89	$147.91
Molina Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $138.04	Professional	None	$97.72	$112.20	$138.04
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $181.97 Typical High $239.88	Facility	None	$162.18	$181.97	$239.88
Regence BlueShield Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $151.36	Professional	None	$93.33	$114.82	$151.36
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83	Facility	None	$177.83	$177.83	$177.83
Select Health Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $125.89	Professional	None	$93.33	$107.15	$125.89
U of Utah Health Plan Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $239.88	Professional	None	$100.00	$158.49	$239.88
United Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $181.97	Professional	None	$81.28	$117.49	$181.97

3 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 $40.74 Median $50.12 Typical High $56.23	Professional	52 · Reduced service	$40.74	$50.12	$56.23
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.14 Typical High $16.98	Professional	55 · Aftercare only	$12.02	$15.14	$16.98
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.23 Typical High $11.22	Professional	56 · Pre-op care only	$8.13	$10.23	$11.22

Where Utah sits

The same service costs 2.7 times more in Alaska than in Washington, DC. 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· 37th of 51

$112

AK $251DC $93.33

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.

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$112	$97.72 to $129
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$112	$81.28 to $182

Annual Checkup, New Patient (Ages 18-39)

How much does Annual Checkup, New Patient (Ages 18-39) cost?

Prices by location type

How much rates vary

Rates by insurance carrier

Where Utah sits