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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $107.15 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $56.23 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $128.82 | $144.54 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $79.43 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | TC · Technical part | $66.07 | $66.07 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $33.11 | $64.57 | $95.50 |
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 $204.17 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $204.17 | $218.78 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $97.72 | $102.33 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $125.89 | Professional | TC · Technical part | $107.15 | $112.20 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $117.49 | $165.96 | $213.80 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $177.83 | Professional | None | $60.26 | $91.20 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $100.00 | $120.23 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $60.26 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $48.98 | $56.23 | $83.18 |
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 $53.70 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $53.70 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $26.92 | $26.92 |
Where Utah sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 51st of 51
$70.79
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.