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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $213.80 Typical High $281.84 | Facility | TC · Technical part | $39.81 | $213.80 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $52.48 | $89.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $114.82 | Facility | None | $35.48 | $43.65 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $46.77 | $70.79 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $79.43 | Professional | 26 · Professional part | $26.30 | $30.20 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $19.50 | $38.02 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $158.49 | Facility | None | $89.13 | $109.65 | $158.49 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $69.18 | $77.62 | $89.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $31.62 | $41.69 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $45.71 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $31.62 Median $53.70 Typical High $97.72 | Professional | None | $31.62 | $53.70 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $40.74 | $69.18 | $123.03 |
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 Facility Modifier 52 · Reduced service Typical Low $44.67 Median $107.15 Typical High $138.04 | Facility | 52 · Reduced service | $44.67 | $107.15 | $138.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $42.66 Typical High $56.23 | Facility | 53 · Discontinued | $17.78 | $42.66 | $56.23 |
Where Utah sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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
$48.98
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.