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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $93.33 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $75.86 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $26.30 | $53.70 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $109.65 | $131.83 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $77.62 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $30.90 | $57.54 | $57.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $26.30 | $56.23 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $134.90 | $154.88 | $169.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $123.03 | Professional | 26 · Professional part | $95.50 | $112.20 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $43.65 Typical High $46.77 | Professional | TC · Technical part | $39.81 | $43.65 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $37.15 Median $91.20 Typical High $169.82 | Professional | None | $37.15 | $91.20 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $91.20 | $95.50 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $69.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $24.55 | $25.70 | $51.29 |
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 $45.71 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $18.62 | $25.70 | $25.70 |
Where Utah sits
The same service costs 5.2 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
$69.18
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.