How much rates vary
Facilitymedian $562 · 10th to 90th $251 to $912Professionalmedian $174 · 10th to 90th $55 to $269
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $199.53 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $70.79 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $151.36 | $177.83 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $269.15 | $269.15 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $61.66 | $75.86 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $194.98 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $53.70 | $162.18 | $223.87 |
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 $251.19 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $251.19 | $275.42 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $58.88 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $218.78 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $229.09 | $281.84 | $588.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $239.88 Typical High $478.63 | Professional | None | $64.57 | $239.88 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $186.21 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $57.54 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $177.83 | $275.42 |
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 $100.00 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $100.00 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $50.12 | $50.12 |
Where Utah sits
The same service costs 3.0 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
$178
AK $513FL $174
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.