How much rates vary
Facilitymedian $2,951 · 10th to 90th $182 to $4,571Professionalmedian $129 · 10th to 90th $37 to $234
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 $181.97 Median $3,162.28 Typical High $4,570.88 | Facility | None | $181.97 | $3,162.28 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $154.88 | $181.97 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $57.54 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $109.65 | $123.03 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $346.74 | Professional | None (both parts) | $169.82 | $169.82 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $56.23 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $112.20 | $114.82 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $33.88 | $100.00 | $162.18 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $208.93 | $245.47 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $57.54 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $169.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $38.90 Median $151.36 Typical High $302.00 | Professional | None | $38.90 | $151.36 | $302.00 |
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 $134.90 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $134.90 | $173.78 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $44.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $125.89 | $218.78 |
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 $91.20 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $91.20 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $36.31 | $36.31 | $40.74 |
Where Utah sits
The same service costs 5.6 times more in Alaska 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· 50th of 51
$135
AK $759TX $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.