How much rates vary
Facilitymedian $1,000 · 10th to 90th $240 to $1,622Professionalmedian $158 · 10th to 90th $35 to $302
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $218.78 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $87.10 | Professional | 26 · Professional part | $63.10 | $77.62 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $162.18 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $251.19 | $251.19 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $87.10 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $165.96 | $165.96 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $33.88 | $151.36 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,621.81 | Facility | None | $870.96 | $1,122.02 | $1,621.81 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $389.05 | $407.38 | $457.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $107.15 | $114.82 | $128.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | TC · Technical part | $281.84 | $295.12 | $331.13 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $223.87 | $309.03 | $354.81 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $85.11 | $100.00 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $218.78 | $257.04 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $77.62 Median $218.78 Typical High $457.09 | Professional | None | $77.62 | $218.78 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $208.93 | $251.19 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $67.61 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $173.78 | $288.40 |
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 $109.65 Median $120.23 Typical High $151.36 | Professional | 52 · Reduced service | $109.65 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $60.26 | Professional | 53 · Discontinued | $44.67 | $47.86 | $60.26 |
Where Utah sits
The same service costs 3.5 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
$158
AK $562UT $158
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.