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 $151.36 Median $812.83 Typical High $1,071.52 | Facility | TC · Technical part | $151.36 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $338.84 | Facility | None | $104.71 | $128.82 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $123.03 | $158.49 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $234.42 | Professional | 26 · Professional part | $52.48 | $77.62 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $257.04 | Professional | TC · Technical part | $70.79 | $102.33 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $194.98 | Professional | None (both parts) | $72.44 | $97.72 | $194.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,454.71 | Facility | None | $1,318.26 | $1,698.24 | $2,454.71 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $426.58 | Professional | None (both parts) | $234.42 | $275.42 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $109.65 | $128.82 | $190.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $147.91 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $173.78 Typical High $354.81 | Professional | None | $102.33 | $173.78 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $138.04 | $229.09 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $107.15 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $114.82 | $204.17 |
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 $407.38 Typical High $524.81 | Facility | 52 · Reduced service | $123.03 | $407.38 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $162.18 Typical High $213.80 | Facility | 53 · Discontinued | $48.98 | $162.18 | $213.80 |
Where Utah sits
The same service costs 6.9 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
$138
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.