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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $50.12 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | TC · Technical part | $41.69 | $44.67 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $41.69 | $50.12 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $11.75 | Professional | 26 · Professional part | $7.24 | $8.51 | $11.75 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $41.69 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $27.54 Typical High $33.88 | Professional | None (both parts) | $22.91 | $27.54 | $33.88 |
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 $60.26 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $60.26 | $70.79 | $70.79 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $9.55 | $11.22 | $11.22 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $58.88 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $8.51 Median $43.65 Typical High $85.11 | Professional | None | $8.51 | $43.65 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $35.48 | $46.77 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.13 Typical High $9.33 | Professional | 26 · Professional part | $7.08 | $8.13 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $29.51 | $38.90 | $45.71 |
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 $25.70 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $10.96 | Professional | 53 · Discontinued | $10.23 | $10.96 | $10.96 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 48th of 51
$41.69
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.