How much rates vary
Facilitymedian $1,000 · 10th to 90th $240 to $1,622Professionalmedian $120 · 10th to 90th $55 to $251
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 $199.53 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $199.53 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $89.13 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $218.78 | Professional | TC · Technical part | $125.89 | $151.36 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $245.47 | $251.19 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $100.00 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $151.36 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $53.70 | $114.82 | $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 $331.13 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $331.13 | $346.74 | $389.05 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | 26 · Professional part | $120.23 | $128.82 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $218.78 Typical High $245.47 | Professional | TC · Technical part | $208.93 | $218.78 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $190.55 | $257.04 | $302.00 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $95.50 | $112.20 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $162.18 | $190.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $346.74 | Professional | None | $79.43 | $158.49 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $169.82 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $75.86 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $75.86 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $128.82 | $218.78 |
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 $97.72 Median $120.23 Typical High $128.82 | Professional | 52 · Reduced service | $97.72 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $47.86 | $51.29 |
Where Utah sits
The same service costs 3.9 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
$120
AK $468UT $120
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.