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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $204.17 Typical High $269.15 | Facility | TC · Technical part | $38.02 | $204.17 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $57.54 | $69.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $190.55 | Facility | None | $54.95 | $72.44 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $85.11 Typical High $194.98 | Professional | None (both parts) | $31.62 | $85.11 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $25.70 Typical High $63.10 | Professional | 26 · Professional part | $10.72 | $25.70 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $20.89 | $56.23 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $33.11 | $64.57 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $97.72 | $104.71 | $114.82 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $31.62 | $37.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $74.13 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $32.36 Median $83.18 Typical High $162.18 | Professional | None | $32.36 | $83.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $40.74 | $93.33 | $131.83 |
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 $28.84 Median $102.33 Typical High $134.90 | Facility | 52 · Reduced service | $28.84 | $102.33 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $40.74 Typical High $53.70 | Facility | 53 · Discontinued | $11.48 | $40.74 | $53.70 |
Where Utah sits
The same service costs 5.9 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· 49th of 51
$69.18
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.