How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $309.03 Typical High $407.38 | Facility | TC · Technical part | $57.54 | $309.03 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $77.62 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $69.18 Typical High $186.21 | Facility | None | $57.54 | $69.18 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $79.43 Typical High $186.21 | Professional | None (both parts) | $39.81 | $79.43 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $21.38 Typical High $47.86 | Professional | 26 · Professional part | $10.96 | $21.38 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $53.70 Typical High $144.54 | Professional | TC · Technical part | $28.84 | $53.70 | $144.54 |
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 Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $87.10 | $102.33 | $128.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $22.91 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $67.61 | $79.43 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $20.89 Median $72.44 Typical High $123.03 | Professional | None | $20.89 | $72.44 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $52.48 | $97.72 | $128.82 |
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 $38.90 Median $154.88 Typical High $204.17 | Facility | 52 · Reduced service | $38.90 | $154.88 | $204.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.49 Median $63.10 Typical High $81.28 | Facility | 53 · Discontinued | $15.49 | $63.10 | $81.28 |
Where Utah sits
The same service costs 4.0 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· 50th of 51
$61.66
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.