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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $446.68 Typical High $575.44 | Facility | TC · Technical part | $81.28 | $446.68 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $93.33 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $204.17 | Facility | None | $64.57 | $77.62 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $257.04 | Professional | None (both parts) | $67.61 | $107.15 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $93.33 | Professional | 26 · Professional part | $27.54 | $40.74 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $162.18 | Professional | TC · Technical part | $39.81 | $67.61 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $33.88 | $64.57 | $97.72 |
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 $117.49 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $117.49 | $138.04 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $50.12 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $89.13 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $91.20 Typical High $169.82 | Professional | None | $47.86 | $91.20 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $70.79 | $128.82 | $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 $66.07 Median $218.78 Typical High $288.40 | Facility | 52 · Reduced service | $66.07 | $218.78 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.30 Median $89.13 Typical High $114.82 | Facility | 53 · Discontinued | $26.30 | $89.13 | $114.82 |
Where Utah sits
The same service costs 4.5 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
$75.86
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.