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 $7.24 Median $7.24 Typical High $69.18 | Facility | None | $7.24 | $7.24 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $10.72 Typical High $69.18 | Professional | None | $5.25 | $10.72 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None | $46.77 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.50 Median $13.18 Typical High $64.57 | Professional | None | $5.50 | $13.18 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $6.03 Median $11.22 Typical High $128.82 | Professional | None | $6.03 | $11.22 | $128.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $6.76 Median $69.18 Typical High $128.82 | Professional | None | $6.76 | $69.18 | $128.82 |
United Setting Professional Modifier None Typical Low $5.50 Median $47.86 Typical High $83.18 | Professional | None | $5.50 | $47.86 | $83.18 |
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 53 · Discontinued Typical Low $1.12 Median $6.46 Typical High $13.80 | Professional | 53 · Discontinued | $1.12 | $6.46 | $13.80 |
Where Utah sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 16th of 51
$53.70
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.