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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $478.63 Typical High $616.60 | Facility | TC · Technical part | $87.10 | $478.63 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $91.20 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $208.93 | Facility | None | $63.10 | $79.43 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $89.13 | $117.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $48.98 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $67.61 | $131.83 |
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 Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $128.82 | $147.91 | $218.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $61.66 | $93.33 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $75.86 | $87.10 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $165.96 | Professional | None | $57.54 | $89.13 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $74.13 | $138.04 | $245.47 |
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 $75.86 Median $234.42 Typical High $309.03 | Facility | 52 · Reduced service | $75.86 | $234.42 | $309.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $30.20 Median $95.50 Typical High $123.03 | Facility | 53 · Discontinued | $30.20 | $95.50 | $123.03 |
Where Utah sits
The same service costs 5.8 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
$74.13
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.