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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $501.19 Typical High $660.69 | Facility | TC · Technical part | $93.33 | $501.19 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $144.54 | $144.54 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $371.54 | Facility | None | $114.82 | $141.25 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $416.87 | Professional | None (both parts) | $72.44 | $109.65 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $100.00 | Professional | 26 · Professional part | $28.18 | $38.90 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $44.67 | $64.57 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $33.88 | $123.03 | $165.96 |
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 $177.83 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $177.83 | $208.93 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $158.49 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $46.77 Median $147.91 Typical High $295.12 | Professional | None | $46.77 | $147.91 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $100.00 | $173.78 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $107.15 | $186.21 |
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 $72.44 Median $251.19 Typical High $323.59 | Facility | 52 · Reduced service | $72.44 | $251.19 | $323.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $100.00 Typical High $131.83 | Facility | 53 · Discontinued | $28.84 | $100.00 | $131.83 |
Where Utah sits
The same service costs 4.9 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· 47th 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.