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 $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $67.61 | Professional | None | $60.26 | $63.10 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | None | $48.98 | $56.23 | $69.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $72.44 | Professional | None | $57.54 | $64.57 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $66.07 | Professional | None | $54.95 | $63.10 | $66.07 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $128.82 | Professional | None | $63.10 | $83.18 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $89.13 | Professional | None | $53.70 | $63.10 | $89.13 |
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 $30.20 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $31.62 | $33.88 |
Where Utah sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 32nd of 51
$61.66
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.