How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None (both parts) | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $20.89 | $20.89 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | TC · Technical part | $20.42 | $20.42 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $30.20 | $44.67 | $44.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $72.44 | Facility | None | $41.69 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $51.29 | $54.95 | $60.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $26.30 | $29.51 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $30.90 | Professional | TC · Technical part | $26.30 | $28.18 | $30.90 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,128.61 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,128.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $72.44 | Professional | None | $27.54 | $36.31 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $38.90 | $47.86 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $21.88 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $37.15 | Professional | TC · Technical part | $19.50 | $22.39 | $37.15 |
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 $20.89 Median $20.89 Typical High $24.55 | Professional | 52 · Reduced service | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.77 |
Where Utah sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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· 22nd of 51
$54.95
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.