How much rates vary
Facilitymedian $33 · 10th to 90th $33 to $33Professionalmedian $30 · 10th to 90th $23 to $45
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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $44.67 | Professional | None (both parts) | $26.30 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $9.12 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $23.99 | $33.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $32.36 | $37.15 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $13.18 | Professional | 26 · Professional part | $8.91 | $10.72 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $22.91 | $26.30 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $27.54 Typical High $34.67 | Professional | None (both parts) | $22.91 | $27.54 | $34.67 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $52.48 | Professional | None (both parts) | $44.67 | $46.77 | $52.48 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $13.49 | $14.79 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $31.62 | $33.88 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $25.70 | $35.48 | $41.69 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.47 Typical High $12.30 | Professional | 26 · Professional part | $7.59 | $10.47 | $12.30 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $28.84 | Professional | TC · Technical part | $18.20 | $24.55 | $28.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.33 Median $26.92 Typical High $72.44 | Professional | None | $9.33 | $26.92 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $24.55 | $33.11 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $13.18 | Professional | 26 · Professional part | $6.61 | $7.76 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.89 Typical High $33.88 | Professional | TC · Technical part | $16.60 | $20.89 | $33.88 |
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 $13.18 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.61 | $6.76 |
Where Utah sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 44th of 51
$30.20
MN $69.18MD $25.70
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.