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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | None | $234.42 | $234.42 | $323.59 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | RR · Rental | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | RR · Rental | $29.51 | $29.51 | $34.67 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $60.26 | Professional | None | $30.20 | $54.95 | $60.26 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $47.86 Median $48.98 Typical High $79.43 | Facility | RR · Rental | $47.86 | $48.98 | $79.43 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $52.48 | Professional | None | $38.90 | $51.29 | $52.48 |
Select Health Setting Professional Modifier RR · Rental Typical Low $38.90 Median $51.29 Typical High $52.48 | Professional | RR · Rental | $38.90 | $51.29 | $52.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $72.44 | Professional | None | $37.15 | $47.86 | $72.44 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $51.29 | Professional | None | $22.39 | $30.90 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $22.91 Typical High $38.02 | Professional | RR · Rental | $17.38 | $22.91 | $38.02 |
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 UE · Used equipment Typical Low $186.21 Median $245.47 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $245.47 | $426.58 |
Where Utah sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 35th of 51
$234
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.