How much rates vary
Facilitymedian $589 · 10th to 90th $200 to $4,467Professionalmedian $126 · 10th to 90th $55 to $282
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 $281.84 Median $3,162.28 Typical High $4,570.88 | Facility | None | $281.84 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $234.42 | $281.84 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $107.15 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $177.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $151.36 | Facility | None | $138.04 | $147.91 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $234.42 | $263.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $102.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $162.18 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $54.95 | $114.82 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $724.44 | Facility | None | $398.11 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $257.04 | $302.00 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $109.65 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $165.96 | $194.98 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $177.83 Typical High $354.81 | Professional | None | $72.44 | $177.83 | $354.81 |
United Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $4,466.84 | Facility | None | $199.53 | $1,023.29 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $199.53 | $239.88 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $81.28 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $141.25 | $251.19 |
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 $117.49 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $56.23 | $56.23 |
Where Utah sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 51st of 51
$135
WI $708UT $135
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.