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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $9.55 Median $52.48 Typical High $67.61 | Facility | TC · Technical part | $9.55 | $52.48 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $31.62 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $26.30 Typical High $69.18 | Facility | None | $21.38 | $26.30 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $48.98 Typical High $117.49 | Professional | None (both parts) | $19.05 | $48.98 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $28.84 Typical High $70.79 | Professional | 26 · Professional part | $14.13 | $28.84 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.57 Median $10.00 Typical High $52.48 | Professional | TC · Technical part | $4.57 | $10.00 | $52.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $56.23 Median $63.10 Typical High $72.44 | Professional | None (both parts) | $56.23 | $63.10 | $72.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $35.48 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $30.20 | Professional | TC · Technical part | $20.42 | $26.92 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $20.89 Median $38.90 Typical High $87.10 | Professional | None | $20.89 | $38.90 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $24.55 | $54.95 | $72.44 |
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 $17.78 Median $25.70 Typical High $33.88 | Facility | 52 · Reduced service | $17.78 | $25.70 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.08 Median $10.47 Typical High $13.49 | Facility | 53 · Discontinued | $7.08 | $10.47 | $13.49 |
Where Utah sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 48th of 51
$37.15
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.