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 $26.30 Median $33.11 Typical High $35.48 | Facility | None | $26.30 | $33.11 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $36.31 | Professional | None | $26.30 | $33.11 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $50.12 | Professional | None | $35.48 | $40.74 | $50.12 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | None | $30.20 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.02 Median $42.66 Typical High $61.66 | Facility | None | $38.02 | $42.66 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $35.48 | Professional | None | $29.51 | $32.36 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $37.15 | Professional | None | $30.20 | $33.88 | $37.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $64.57 | Professional | None | $28.18 | $40.74 | $64.57 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
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 Facility Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $16.98 | Facility | 52 · Reduced service | $16.60 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $15.14 | $16.60 | $16.98 |
Where Utah sits
The same service costs 2.5 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· 20th of 51
$33.88
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.