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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $691.83 Typical High $776.25 | Professional | None (both parts) | $524.81 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | 26 · Professional part | $131.83 | $169.82 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $630.96 Typical High $724.44 | Professional | TC · Technical part | $489.78 | $630.96 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $331.13 | $371.54 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $234.42 | Professional | 26 · Professional part | $162.18 | $190.55 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $208.93 | Professional | TC · Technical part | $158.49 | $181.97 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $131.83 | $131.83 | $144.54 |
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 $446.68 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $446.68 | $467.74 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $263.03 | Professional | 26 · Professional part | $218.78 | $234.42 | $263.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $263.03 | Professional | TC · Technical part | $223.87 | $234.42 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $416.87 | Professional | None (both parts) | $354.81 | $389.05 | $416.87 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $131.83 | $177.83 | $208.93 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $263.03 | Professional | TC · Technical part | $223.87 | $251.19 | $263.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $398.11 | Professional | None | $131.83 | $190.55 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $630.96 Typical High $1,023.29 | Professional | None (both parts) | $338.84 | $630.96 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $144.54 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $194.98 | $478.63 | $812.83 |
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 $263.03 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $263.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $104.71 | $138.04 | $138.04 |
Where Utah sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 47th of 51
$363
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.