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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $602.56 Typical High $794.33 | Facility | TC · Technical part | $112.20 | $602.56 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $97.72 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $66.07 Typical High $173.78 | Facility | None | $45.71 | $66.07 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $478.63 | Professional | None (both parts) | $102.33 | $154.88 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $181.97 | Professional | 26 · Professional part | $41.69 | $79.43 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $354.81 | Professional | TC · Technical part | $56.23 | $63.10 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $52.48 | $83.18 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $512.86 | Facility | None | $269.15 | $354.81 | $512.86 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $165.96 Typical High $251.19 | Professional | None (both parts) | $144.54 | $165.96 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $95.50 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $70.79 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $67.61 Median $107.15 Typical High $229.09 | Professional | None | $67.61 | $107.15 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $83.18 | $141.25 | $251.19 |
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 $93.33 Median $302.00 Typical High $389.05 | Facility | 52 · Reduced service | $93.33 | $302.00 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $120.23 Typical High $158.49 | Facility | 53 · Discontinued | $37.15 | $120.23 | $158.49 |
Where Utah sits
The same service costs 7.6 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.