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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $218.78 Typical High $281.84 | Facility | TC · Technical part | $39.81 | $218.78 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $45.71 Typical High $57.54 | Professional | None (both parts) | $25.12 | $45.71 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $74.13 | Facility | None | $22.91 | $28.18 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $31.62 Typical High $75.86 | Professional | None (both parts) | $22.39 | $31.62 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $6.76 Typical High $15.85 | Professional | 26 · Professional part | $3.16 | $6.76 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $61.66 | Professional | TC · Technical part | $19.05 | $26.30 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $104.71 | Facility | None | $53.70 | $81.28 | $104.71 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $33.88 | $37.15 | $48.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $7.94 | $12.30 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $26.92 | $29.51 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $7.41 Median $25.70 Typical High $51.29 | Professional | None | $7.41 | $25.70 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $19.95 | $31.62 | $57.54 |
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 $22.91 Median $107.15 Typical High $141.25 | Facility | 52 · Reduced service | $22.91 | $107.15 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.12 Median $43.65 Typical High $56.23 | Facility | 53 · Discontinued | $9.12 | $43.65 | $56.23 |
Where Utah sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 45th of 51
$31.62
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.