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 $36.31 Median $83.18 Typical High $89.13 | Facility | None | $36.31 | $83.18 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $83.18 Typical High $89.13 | Professional | None | $36.31 | $83.18 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $154.88 | Professional | None | $72.44 | $97.72 | $154.88 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $102.33 | Professional | None | $74.13 | $85.11 | $102.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $275.42 | Facility | None | $138.04 | $190.55 | $275.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $95.50 | Professional | None | $74.13 | $87.10 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $93.33 | Professional | None | $75.86 | $85.11 | $93.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $173.78 | Professional | None | $74.13 | $109.65 | $173.78 |
United Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $114.82 | Professional | None | $69.18 | $81.28 | $114.82 |
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 $18.20 Median $40.74 Typical High $44.67 | Facility | 52 · Reduced service | $18.20 | $40.74 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $40.74 Typical High $44.67 | Professional | 52 · Reduced service | $18.20 | $40.74 | $44.67 |
Where Utah sits
The same service costs 2.8 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· 25th of 51
$85.11
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.