How much rates vary
Facilitymedian $107 · 10th to 90th $40 to $174Professionalmedian $31 · 10th to 90th $23 to $60
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $29.51 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $12.02 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $17.38 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $35.48 | $43.65 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $16.98 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $21.38 | $26.92 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None (both parts) | $23.44 | $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 $57.54 Median $60.26 Typical High $67.61 | Professional | None (both parts) | $57.54 | $60.26 | $67.61 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $23.44 | $26.30 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $40.74 | Professional | TC · Technical part | $34.67 | $37.15 | $40.74 |
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 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $33.11 | $44.67 | $57.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $58.88 | Professional | None | $12.59 | $26.92 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $28.18 | $38.02 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $10.96 | $12.88 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $16.22 | $21.88 | $30.90 |
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 $14.79 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $14.79 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $5.89 | $7.94 | $7.94 |
Where Utah sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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
$30.90
MN $74.13AL $28.18
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.