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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $870.96 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $120.23 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $758.58 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,230.27 Typical High $1,621.81 | Professional | None (both parts) | $1,096.48 | $1,230.27 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $165.96 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $165.96 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,071.52 Typical High $1,380.38 | Professional | TC · Technical part | $954.99 | $1,071.52 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $81.28 | $691.83 | $933.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,479.11 | $1,862.09 | $2,754.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,621.81 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,621.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $134.90 | $218.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,412.54 | Professional | TC · Technical part | $724.44 | $851.14 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,122.02 Typical High $1,584.89 | Professional | None (both parts) | $870.96 | $1,122.02 | $1,584.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $165.96 Median $1,047.13 Typical High $2,089.30 | Professional | None | $165.96 | $1,047.13 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $891.25 | $1,122.02 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $218.78 | Professional | 26 · Professional part | $114.82 | $134.90 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $933.25 Typical High $1,479.11 | Professional | TC · Technical part | $776.25 | $933.25 | $1,479.11 |
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 Professional Modifier 52 · Reduced service Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $436.52 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $173.78 | $204.17 | $204.17 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 51st of 51
$759
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.