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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $346.74 Typical High $446.68 | Facility | TC · Technical part | $64.57 | $346.74 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $100.00 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $141.25 Typical High $371.54 | Facility | None | $117.49 | $141.25 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $54.95 | $147.91 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $37.15 Typical High $87.10 | Professional | 26 · Professional part | $19.50 | $37.15 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $95.50 Typical High $275.42 | Professional | TC · Technical part | $35.48 | $95.50 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $33.11 | $123.03 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,071.52 | Facility | None | $549.54 | $741.31 | $1,071.52 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $173.78 | $186.21 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $38.02 | $43.65 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $144.54 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $43.65 Median $158.49 Typical High $309.03 | Professional | None | $43.65 | $158.49 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $70.79 | $173.78 | $234.42 |
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 $50.12 Median $173.78 Typical High $223.87 | Facility | 52 · Reduced service | $50.12 | $173.78 | $223.87 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $69.18 Typical High $89.13 | Facility | 53 · Discontinued | $19.95 | $69.18 | $89.13 |
Where Utah sits
The same service costs 7.1 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· 48th of 51
$126
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.