How much rates vary
Facilitymedian $724 · 10th to 90th $68 to $1,175Professionalmedian $35 · 10th to 90th $25 to $68
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $39.81 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | 26 · Professional part | $12.30 | $13.80 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $46.77 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | None (both parts) | $46.77 | $46.77 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $15.49 | Professional | 26 · Professional part | $9.77 | $12.88 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $36.31 | $36.31 | $53.70 |
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 $616.60 Median $812.83 Typical High $1,202.26 | Facility | None | $616.60 | $812.83 | $1,202.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $33.11 | $38.90 | $38.90 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $15.14 | $17.78 | $17.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $21.38 | $25.12 | $25.12 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $13.49 Median $36.31 Typical High $74.13 | Professional | None | $13.49 | $36.31 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $48.98 | $54.95 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $10.72 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $45.71 Typical High $50.12 | Professional | TC · Technical part | $39.81 | $45.71 | $50.12 |
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 $26.30 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $26.30 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.49 Typical High $13.49 | Professional | 53 · Discontinued | $10.47 | $13.49 | $13.49 |
Where Utah sits
The same service costs 3.3 times more in Alaska than in Ohio. 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
$35.48
AK $110OH $33.11
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.