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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $70.79 | Professional | None (both parts) | $60.26 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $29.51 | Professional | TC · Technical part | $24.55 | $26.30 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $50.12 | $70.79 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $41.69 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $23.99 | Professional | TC · Technical part | $19.95 | $23.99 | $23.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $177.83 | Facility | None | $97.72 | $123.03 | $177.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $69.18 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $46.77 | $46.77 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $30.20 | $35.48 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Select Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $48.98 | $66.07 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $48.98 Typical High $91.20 | Professional | None | $27.54 | $48.98 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $44.67 | $54.95 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $29.51 | $33.11 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.39 Typical High $27.54 | Professional | TC · Technical part | $16.98 | $22.39 | $27.54 |
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 $30.20 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $30.20 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $13.80 | $13.80 |
Where Utah sits
The same service costs 3.7 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· 47th of 51
$51.29
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.