How much rates vary
Facilitymedian $71 · 10th to 90th $63 to $110Professionalmedian $48 · 10th to 90th $25 to $98
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $64.57 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $37.15 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $24.55 | $24.55 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $128.82 | Professional | None (both parts) | $79.43 | $79.43 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $51.29 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $27.54 | $27.54 | $52.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $25.12 | $33.88 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $112.20 | Facility | None | $61.66 | $77.62 | $112.20 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $125.89 | $131.83 | $147.91 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $67.61 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $61.66 | $66.07 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Select Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $72.44 | $102.33 | $112.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $56.23 Typical High $112.20 | Professional | None | $34.67 | $56.23 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $57.54 | $69.18 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $38.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $28.18 | $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 $33.88 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $15.14 | Professional | 53 · Discontinued | $13.49 | $14.13 | $15.14 |
Where Utah sits
The same service costs 3.3 times more in Alaska 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
$48.98
AK $162UT $48.98
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.