How much rates vary
Facilitymedian $219 · 10th to 90th $219 to $219Professionalmedian $219 · 10th to 90th $98 to $363
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $181.97 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $234.42 | $239.88 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $123.03 Typical High $162.18 | Professional | 26 · Professional part | $117.49 | $123.03 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $112.20 | $114.82 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None (both parts) | $97.72 | $97.72 | $109.65 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $363.08 | Professional | None (both parts) | $309.03 | $331.13 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $151.36 | $165.96 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $181.97 | Professional | TC · Technical part | $154.88 | $165.96 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,128.61 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,128.61 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $123.03 | $144.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $275.42 | Professional | None | $93.33 | $134.90 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $239.88 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $95.50 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $186.21 | $302.00 |
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 $89.13 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $43.65 | $46.77 |
Where Utah sits
The same service costs 3.1 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· 41st of 51
$219
AK $537NY $174
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.