How much rates vary
Facilitymedian $1,000 · 10th to 90th $151 to $1,622Professionalmedian $129 · 10th to 90th $34 to $209
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $151.36 | $151.36 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $44.67 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $107.15 | $107.15 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $158.49 | $158.49 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $50.12 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $109.65 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $33.88 | $123.03 | $158.49 |
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 $275.42 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $275.42 | $288.40 | $323.59 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $66.07 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $223.87 Typical High $245.47 | Professional | TC · Technical part | $208.93 | $223.87 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $154.88 | $213.80 | $251.19 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $50.12 | $58.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $120.23 | $162.18 | $190.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $154.88 Typical High $323.59 | Professional | None | $44.67 | $154.88 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $134.90 | $169.82 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $38.02 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $125.89 | $204.17 |
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 $75.86 Median $75.86 Typical High $104.71 | Professional | 52 · Reduced service | $75.86 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $41.69 | Professional | 53 · Discontinued | $30.20 | $30.20 | $41.69 |
Where Utah sits
The same service costs 3.0 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
$129
AK $380UT $129
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.