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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $77.62 | Professional | None | $63.10 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $134.90 | Professional | None | $67.61 | $89.13 | $134.90 |
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 $70.79 Median $74.13 Typical High $83.18 | Professional | None | $70.79 | $74.13 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $89.13 | Professional | None | $72.44 | $81.28 | $89.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $69.18 Median $100.00 Typical High $144.54 | Professional | None | $69.18 | $100.00 | $144.54 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $100.00 | Professional | None | $63.10 | $74.13 | $100.00 |
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 52 · Reduced service Typical Low $31.62 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $31.62 | $38.90 | $38.90 |
Where Utah sits
The same service costs 3.0 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· 36th of 51
$69.18
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.