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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $489.78 | Facility | TC · Technical part | $69.18 | $79.43 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $93.33 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $239.88 | Facility | None | $74.13 | $91.20 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $93.33 Typical High $239.88 | Professional | None (both parts) | $45.71 | $93.33 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.70 Typical High $63.10 | Professional | 26 · Professional part | $12.59 | $25.70 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $57.54 Typical High $181.97 | Professional | TC · Technical part | $32.36 | $57.54 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
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 $114.82 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $114.82 | $131.83 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $30.20 | $45.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $97.72 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $26.30 Median $75.86 Typical High $162.18 | Professional | None | $26.30 | $75.86 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $58.88 | $107.15 | $151.36 |
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 $186.21 Typical High $245.47 | Facility | 52 · Reduced service | $45.71 | $186.21 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $74.13 Typical High $97.72 | Facility | 53 · Discontinued | $18.62 | $74.13 | $97.72 |
Where Utah sits
The same service costs 5.5 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· 40th of 51
$95.50
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.