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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | None | $831.76 | $891.25 | $891.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | RR · Rental | $67.61 | $67.61 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $57.54 | $57.54 | $67.61 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | None | $72.44 | $72.44 | $93.33 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $95.50 Median $97.72 Typical High $199.53 | Facility | RR · Rental | $95.50 | $97.72 | $199.53 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $177.83 | Professional | None | $77.62 | $100.00 | $177.83 |
Select Health Setting Professional Modifier RR · Rental Typical Low $77.62 Median $100.00 Typical High $177.83 | Professional | RR · Rental | $77.62 | $100.00 | $177.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $190.55 | Professional | None | $70.79 | $100.00 | $190.55 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $912.01 | Professional | None | $60.26 | $60.26 | $912.01 |
United Setting Professional Modifier RR · Rental Typical Low $35.48 Median $51.29 Typical High $173.78 | Professional | RR · Rental | $35.48 | $51.29 | $173.78 |
3 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 UE · Used equipment Typical Low $416.87 Median $645.65 Typical High $1,122.02 | Professional | UE · Used equipment | $416.87 | $645.65 | $1,122.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $407.38 | Professional | UE · Used equipment | $275.42 | $275.42 | $407.38 |
Where Utah sits
The same service costs 13.2 times more in Wyoming than in Montana. 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
$107
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.