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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $707.95 Typical High $912.01 | Facility | TC · Technical part | $131.83 | $707.95 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $194.98 | $245.47 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $331.13 | Facility | None | $100.00 | $125.89 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $131.83 | $218.78 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $125.89 Typical High $288.40 | Professional | 26 · Professional part | $67.61 | $125.89 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $66.07 | $107.15 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $77.62 | $114.82 | $223.87 |
Regence BlueShield Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $158.49 | Facility | None | $89.13 | $109.65 | $158.49 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $239.88 | $281.84 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $120.23 | $141.25 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $120.23 | $128.82 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $316.23 | Professional | None | $100.00 | $169.82 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $141.25 | $239.88 | $436.52 |
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 $123.03 Median $346.74 Typical High $457.09 | Facility | 52 · Reduced service | $123.03 | $346.74 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $141.25 Typical High $181.97 | Facility | 53 · Discontinued | $48.98 | $141.25 | $181.97 |
Where Utah sits
The same service costs 6.5 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· 50th of 51
$132
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.