How much rates vary
Facilitymedian $71 · 10th to 90th $63 to $112Professionalmedian $71 · 10th to 90th $25 to $115
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 $67.61 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $67.61 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $47.86 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $48.98 | Professional | TC · Technical part | $23.99 | $23.99 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $144.54 | Professional | None (both parts) | $79.43 | $79.43 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $41.69 | $54.95 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $70.79 | Professional | TC · Technical part | $25.12 | $25.12 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $95.50 | Professional | None (both parts) | $25.12 | $33.88 | $95.50 |
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 $141.25 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $141.25 | $147.91 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $75.86 | Professional | 26 · Professional part | $64.57 | $69.18 | $75.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $74.13 | $79.43 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $81.28 | $114.82 | $134.90 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $138.04 | Professional | None | $32.36 | $63.10 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $58.88 | $72.44 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $40.74 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $32.36 | $54.95 |
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 $35.48 Median $35.48 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Where Utah sits
The same service costs 3.4 times more in Alaska than in New York. 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· 45th of 51
$70.79
AK $182NY $53.70
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.