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 $758.58 Median $4,570.88 Typical High $12,022.64 | Facility | None | $758.58 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $575.44 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $295.12 | $407.38 | $407.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $275.42 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $630.96 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $416.87 Typical High $562.34 | Professional | 26 · Professional part | $346.74 | $416.87 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $346.74 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $288.40 Median $295.12 Typical High $302.00 | Professional | None (both parts) | $288.40 | $295.12 | $302.00 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,071.52 Typical High $1,202.26 | Professional | None (both parts) | $1,023.29 | $1,071.52 | $1,202.26 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $575.44 Typical High $630.96 | Professional | 26 · Professional part | $537.03 | $575.44 | $630.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $501.19 Typical High $562.34 | Professional | TC · Technical part | $478.63 | $501.19 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Select Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $354.81 Typical High $5,011.87 | Professional | None (both parts) | $331.13 | $354.81 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $977.24 | Professional | None | $257.04 | $457.09 | $977.24 |
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 $524.81 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $524.81 | $660.69 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $323.59 Typical High $478.63 | Professional | 26 · Professional part | $269.15 | $323.59 | $478.63 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $257.04 | $309.03 | $489.78 |
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 $288.40 Median $371.54 Typical High $371.54 | Professional | 52 · Reduced service | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $151.36 | $151.36 |
Where Utah sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$589
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.