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 $33.11 Median $33.11 Typical High $42.66 | Facility | None | $33.11 | $33.11 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $42.66 | Professional | None | $31.62 | $34.67 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $52.48 | Professional | None | $38.90 | $45.71 | $52.48 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $46.77 | Professional | None | $29.51 | $36.31 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $31.62 Typical High $38.90 | Professional | None | $27.54 | $31.62 | $38.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $75.86 | Professional | None | $32.36 | $50.12 | $75.86 |
United Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $54.95 | Professional | None | $29.51 | $38.90 | $54.95 |
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 $16.60 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
Where Utah sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 15th of 51
$47.86
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.