How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $218.78 Typical High $281.84 | Facility | TC · Technical part | $40.74 | $218.78 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $63.10 | $63.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $269.15 | Facility | None | $83.18 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $79.43 Typical High $234.42 | Professional | None (both parts) | $34.67 | $79.43 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $12.30 | $28.18 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $51.29 Typical High $173.78 | Professional | TC · Technical part | $22.39 | $51.29 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $120.23 | $141.25 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $37.15 | $54.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $104.71 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $40.74 Median $112.20 Typical High $177.83 | Professional | None | $40.74 | $112.20 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $44.67 | $117.49 | $177.83 |
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 $31.62 Median $109.65 Typical High $141.25 | Facility | 52 · Reduced service | $31.62 | $109.65 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.59 Median $43.65 Typical High $57.54 | Facility | 53 · Discontinued | $12.59 | $43.65 | $57.54 |
Where Utah sits
The same service costs 4.6 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· 41st of 51
$95.50
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.