How much rates vary
Facilitymedian $562 · 10th to 90th $148 to $912Professionalmedian $120 · 10th to 90th $55 to $174
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $125.89 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $52.48 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $85.11 | $95.50 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $147.91 | $147.91 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $56.23 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $91.20 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $53.70 | $109.65 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Facility | None | $478.63 | $645.65 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $269.15 | Professional | None (both parts) | $173.78 | $181.97 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $134.90 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $151.36 | $186.21 | $263.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $53.70 Median $131.83 Typical High $281.84 | Professional | None | $53.70 | $131.83 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $102.33 | $134.90 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $45.71 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $57.54 | $83.18 | $151.36 |
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 $64.57 Median $74.13 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $74.13 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $29.51 | $30.20 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in New York. 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
$120
AK $347NY $107
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.