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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $676.08 Typical High $891.25 | Facility | TC · Technical part | $125.89 | $676.08 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $194.98 | $199.53 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $575.44 | Facility | None | $177.83 | $218.78 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $218.78 Typical High $616.60 | Professional | None (both parts) | $97.72 | $218.78 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $77.62 Typical High $190.55 | Professional | 26 · Professional part | $38.02 | $77.62 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $112.20 Typical High $436.52 | Professional | TC · Technical part | $58.88 | $112.20 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $77.62 | $165.96 | $281.84 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,071.52 | Facility | None | $549.54 | $741.31 | $1,071.52 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $288.40 | $338.84 | $467.74 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $95.50 | $141.25 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $208.93 | $239.88 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $239.88 Typical High $416.87 | Professional | None | $79.43 | $239.88 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $141.25 | $281.84 | $389.05 |
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 $97.72 Median $338.84 Typical High $446.68 | Facility | 52 · Reduced service | $97.72 | $338.84 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $134.90 Typical High $177.83 | Facility | 53 · Discontinued | $38.90 | $134.90 | $177.83 |
Where Utah sits
The same service costs 4.2 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· 50th of 51
$191
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.