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 $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $5.89 | Professional | None | $3.80 | $3.80 | $5.89 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | RR · Rental | $0.39 | $0.39 | $0.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2.82 Median $2.82 Typical High $4.47 | Professional | UE · Used equipment | $2.82 | $2.82 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Molina Setting Professional Modifier None Typical Low $1.32 Median $10.23 Typical High $60.26 | Professional | None | $1.32 | $10.23 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $13.80 Typical High $21.38 | Facility | None | $13.18 | $13.80 | $21.38 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | RR · Rental | $1.02 | $1.02 | $1.02 |
Regence BlueShield Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Select Health Setting Facility Modifier None Typical Low $1.48 Median $1.48 Typical High $14.13 | Facility | None | $1.48 | $1.48 | $14.13 |
Select Health Setting Professional Modifier None Typical Low $1.48 Median $12.30 Typical High $14.45 | Professional | None | $1.48 | $12.30 | $14.45 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1.10 Median $7.24 Typical High $16.98 | Professional | None | $1.10 | $7.24 | $16.98 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $11.48 | Professional | None | $4.68 | $5.89 | $11.48 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.62 Typical High $0.62 | Professional | RR · Rental | $0.48 | $0.62 | $0.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.47 Typical High $4.47 | Professional | UE · Used equipment | $3.47 | $4.47 | $4.47 |
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 MS · Maintenance fee Typical Low $0.39 Median $0.39 Typical High $0.39 | Professional | MS · Maintenance fee | $0.39 | $0.39 | $0.39 |
Where Utah sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 50th of 51
$5.89
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.