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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $870.96 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $812.83 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,122.02 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $83.18 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,047.13 Typical High $1,698.24 | Professional | TC · Technical part | $912.01 | $1,047.13 | $1,698.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $363.08 | Professional | None (both parts) | $97.72 | $199.53 | $363.08 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,584.89 Typical High $1,778.28 | Professional | None (both parts) | $1,445.44 | $1,584.89 | $1,778.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $117.49 | $239.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,479.11 Typical High $1,621.81 | Professional | TC · Technical part | $1,348.96 | $1,479.11 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $97.72 Median $281.84 Typical High $1,584.89 | Professional | None | $97.72 | $281.84 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,023.29 Typical High $1,862.09 | Professional | None (both parts) | $977.24 | $1,023.29 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $74.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $954.99 Typical High $1,621.81 | Professional | TC · Technical part | $912.01 | $954.99 | $1,621.81 |
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 $501.19 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $501.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $208.93 Typical High $208.93 | Professional | 53 · Discontinued | $204.17 | $208.93 | $208.93 |
Where Utah sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 48th of 51
$324
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.