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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $97.72 | $109.65 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $117.49 | $123.03 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $56.23 Typical High $95.50 | Professional | None (both parts) | $26.30 | $56.23 | $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 $186.21 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $186.21 | $199.53 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $109.65 | $151.36 | $173.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $42.66 Median $85.11 Typical High $169.82 | Professional | None | $42.66 | $85.11 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $87.10 | $107.15 | $165.96 |
8 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 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $75.86 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $32.36 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $89.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $34.67 | $69.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $125.89 | Professional | 26 · Professional part | $107.15 | $114.82 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $85.11 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $66.07 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $36.31 | $60.26 |
Where Utah sits
The same service costs 3.9 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
$64.57
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.