How much rates vary
Facilitymedian $4,467 · 10th to 90th $589 to $12,023Professionalmedian $407 · 10th to 90th $162 to $912
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 $588.84 Median $4,570.88 Typical High $12,022.64 | Facility | None | $588.84 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $436.52 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $173.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $257.04 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $758.58 | Professional | None (both parts) | $478.63 | $602.56 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $251.19 Typical High $323.59 | Professional | 26 · Professional part | $199.53 | $251.19 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $457.09 | Professional | TC · Technical part | $281.84 | $346.74 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $169.82 | Professional | None (both parts) | $154.88 | $162.18 | $169.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $776.25 Median $812.83 Typical High $912.01 | Professional | None (both parts) | $776.25 | $812.83 | $912.01 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $331.13 Typical High $363.08 | Professional | 26 · Professional part | $309.03 | $331.13 | $363.08 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $489.78 Typical High $549.54 | Professional | TC · Technical part | $467.74 | $489.78 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $5,011.87 | Professional | None (both parts) | $194.98 | $208.93 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $794.33 | Professional | None | $165.96 | $316.23 | $794.33 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $4,466.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $4,466.84 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $512.86 Typical High $794.33 | Professional | None (both parts) | $416.87 | $512.86 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $281.84 | Professional | 26 · Professional part | $154.88 | $190.55 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $257.04 | $302.00 | $478.63 |
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 $213.80 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $213.80 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $117.49 | $117.49 |
Where Utah sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 43rd of 51
$447
WI $1,000NC $331
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.