How much rates vary
Facilitymedian $45 · 10th to 90th $20 to $72Professionalmedian $30 · 10th to 90th $16 to $35
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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $8.13 | $10.00 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $9.77 Typical High $9.77 | Professional | TC · Technical part | $7.94 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $22.39 Typical High $27.54 | Professional | None (both parts) | $18.62 | $22.39 | $27.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $14.13 | Professional | 26 · Professional part | $9.33 | $11.22 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $10.96 Typical High $13.18 | Professional | TC · Technical part | $9.33 | $10.96 | $13.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $17.38 Typical High $60.26 | Professional | None (both parts) | $15.49 | $17.38 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $72.44 | Facility | None | $41.69 | $52.48 | $72.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $29.51 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $29.51 | $31.62 | $34.67 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $16.98 | Professional | 26 · Professional part | $14.45 | $15.49 | $16.98 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.85 Typical High $17.78 | Professional | TC · Technical part | $15.14 | $15.85 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Select Health Setting Professional Modifier None (both parts) Typical Low $16.98 Median $24.55 Typical High $7,585.78 | Professional | None (both parts) | $16.98 | $24.55 | $7,585.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $26.92 | Professional | None | $10.00 | $14.13 | $26.92 |
United Setting Professional Modifier None (both parts) Typical Low $15.14 Median $18.20 Typical High $25.12 | Professional | None (both parts) | $15.14 | $18.20 | $25.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $12.59 | Professional | 26 · Professional part | $7.41 | $8.71 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.51 Typical High $12.59 | Professional | TC · Technical part | $7.24 | $8.51 | $12.59 |
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 $7.94 Median $10.00 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.16 | $3.98 | $3.98 |
Where Utah sits
The same service costs 2.7 times more in Minnesota 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· 9th of 51
$29.51
MN $38.02FL $14.13
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.