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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $123.03 | Professional | None | $85.11 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $57.54 Typical High $67.61 | Professional | None | $51.29 | $57.54 | $67.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $107.15 | Professional | None | $91.20 | $95.50 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $199.53 | Professional | None | $100.00 | $131.83 | $199.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $169.82 | Professional | None | $102.33 | $131.83 | $169.82 |
United Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $147.91 | Professional | None | $87.10 | $107.15 | $147.91 |
2 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 52 · Reduced service Typical Low $41.69 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $41.69 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $24.55 | $24.55 |
Where Utah sits
The same service costs 2.2 times more in Nebraska 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· 49th of 51
$81.28
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.