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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $309.03 Typical High $398.11 | Facility | TC · Technical part | $56.23 | $309.03 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $67.61 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $74.13 Typical High $194.98 | Facility | None | $60.26 | $74.13 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $67.61 Typical High $173.78 | Professional | None (both parts) | $33.11 | $67.61 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $11.48 Typical High $28.18 | Professional | 26 · Professional part | $5.62 | $11.48 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $51.29 Typical High $147.91 | Professional | TC · Technical part | $27.54 | $51.29 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $46.77 | $56.23 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $338.84 | Facility | None | $109.65 | $263.03 | $338.84 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $83.18 | $93.33 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $20.89 | Professional | 26 · Professional part | $11.75 | $13.80 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $70.79 | $77.62 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $11.48 Median $60.26 Typical High $131.83 | Professional | None | $11.48 | $60.26 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $112.20 | Professional | None (both parts) | $42.66 | $77.62 | $112.20 |
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 $33.88 Median $151.36 Typical High $199.53 | Facility | 52 · Reduced service | $33.88 | $151.36 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $61.66 Typical High $79.43 | Facility | 53 · Discontinued | $13.49 | $61.66 | $79.43 |
Where Utah sits
The same service costs 6.0 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· 43rd of 51
$63.10
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.