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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $281.84 Typical High $371.54 | Facility | TC · Technical part | $52.48 | $281.84 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $89.13 | $89.13 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $302.00 | Facility | None | $95.50 | $114.82 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $45.71 | $112.20 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $39.81 Typical High $85.11 | Professional | 26 · Professional part | $20.42 | $39.81 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $54.95 Typical High $151.36 | Professional | TC · Technical part | $25.12 | $54.95 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $524.81 | Facility | None | $281.84 | $371.54 | $524.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $147.91 | $162.18 | $181.97 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $41.69 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $117.49 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $38.90 Median $102.33 Typical High $199.53 | Professional | None | $38.90 | $102.33 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $61.66 | $128.82 | $194.98 |
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 $44.67 Median $141.25 Typical High $181.97 | Facility | 52 · Reduced service | $44.67 | $141.25 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $56.23 Typical High $74.13 | Facility | 53 · Discontinued | $17.78 | $56.23 | $74.13 |
Where Utah sits
The same service costs 5.2 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
$97.72
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.