How much rates vary
Facilitymedian $229 · 10th to 90th $95 to $380Professionalmedian $49 · 10th to 90th $25 to $95
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $70.79 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $39.81 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $48.98 | $72.44 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $30.20 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $26.92 | $41.69 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $69.18 | $81.28 | $81.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $33.88 | $33.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $39.81 | $47.86 | $47.86 |
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 $70.79 Typical High $91.20 | Professional | None (both parts) | $48.98 | $70.79 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $102.33 | Professional | None | $25.70 | $51.29 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $53.70 | $61.66 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $23.99 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $34.67 | $54.95 |
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 $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $30.20 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $12.02 | $19.05 | $19.05 |
Where Utah sits
The same service costs 3.5 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· 50th of 51
$48.98
AK $162FL $45.71
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.