How much rates vary
Facilitymedian $282 · 10th to 90th $41 to $457Professionalmedian $32 · 10th to 90th $23 to $47
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $45.71 | Professional | None (both parts) | $33.88 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.98 Typical High $17.78 | Professional | 26 · Professional part | $11.48 | $16.98 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.44 Typical High $28.84 | Professional | TC · Technical part | $20.89 | $23.44 | $28.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $56.23 | Professional | None (both parts) | $38.02 | $45.71 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $13.49 | $19.05 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $22.91 | $26.30 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $22.91 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.20 | $35.48 | $63.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $11.75 | $20.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $23.44 | $40.74 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1.20 Median $38.02 Typical High $54.95 | Professional | None (both parts) | $1.20 | $38.02 | $54.95 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $64.57 | Professional | None | $15.14 | $32.36 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $33.11 | $40.74 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $12.59 | $14.79 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $38.02 | Professional | TC · Technical part | $19.95 | $23.99 | $38.02 |
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 $15.85 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $8.13 | $8.13 |
Where Utah sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 49th of 51
$31.62
AK $83.18FL $30.90
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.