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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $323.59 Typical High $416.87 | Facility | TC · Technical part | $58.88 | $323.59 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $70.79 | $91.20 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $346.74 | Facility | None | $107.15 | $131.83 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $117.49 Typical High $302.00 | Professional | None (both parts) | $46.77 | $117.49 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $17.38 | $36.31 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $74.13 Typical High $234.42 | Professional | TC · Technical part | $28.84 | $74.13 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $33.88 | $97.72 | $158.49 |
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 $154.88 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $154.88 | $173.78 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $37.15 | $43.65 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $102.33 | $131.83 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $218.78 | Professional | None | $34.67 | $79.43 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $61.66 | $141.25 | $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 Facility Modifier 52 · Reduced service Typical Low $45.71 Median $158.49 Typical High $208.93 | Facility | 52 · Reduced service | $45.71 | $158.49 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $64.57 Typical High $83.18 | Facility | 53 · Discontinued | $18.20 | $64.57 | $83.18 |
Where Utah sits
The same service costs 5.8 times more in Alaska 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· 44th of 51
$105
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.