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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $239.88 Typical High $239.88 | Professional | None | $165.96 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $169.82 | Professional | None | $123.03 | $141.25 | $169.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $257.04 | Professional | None | $181.97 | $194.98 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $223.87 | Professional | None | $190.55 | $208.93 | $223.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $354.81 | Professional | None | $190.55 | $263.03 | $354.81 |
United Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $302.00 | Professional | None | $173.78 | $199.53 | $302.00 |
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 $83.18 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $120.23 | $120.23 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 45th of 51
$166
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.