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 MS · Maintenance fee + RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | MS · Maintenance fee + RR · Rental | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $309.03 Typical High $575.44 | Professional | None | $36.31 | $309.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $338.84 | Facility | None | $31.62 | $31.62 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | RR · Rental | $26.92 | $26.92 | $31.62 |
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 $60.26 | Professional | None | $37.15 | $47.86 | $60.26 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $51.29 | Professional | None | $17.38 | $25.12 | $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 |
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 UE · Used equipment Typical Low $186.21 Median $245.47 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $245.47 | $426.58 |
Select Health Setting Professional Modifier MS · Maintenance fee Typical Low $46.77 Median $89.13 Typical High $93.33 | Professional | MS · Maintenance fee | $46.77 | $89.13 | $93.33 |
Where Utah sits
The same service costs 30.2 times more in Wyoming 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· 45th of 51
$51.29
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.