How much rates vary
Facilitymedian $3,162 · 10th to 90th $490 to $9,333Professionalmedian $240 · 10th to 90th $52 to $490
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 $489.78 Median $4,570.88 Typical High $12,022.64 | Facility | None | $489.78 | $4,570.88 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $346.74 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $371.54 | $549.54 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $52.48 | $223.87 | $323.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,630.78 | Facility | None | $1,995.26 | $2,511.89 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $588.84 | $630.96 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Select Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $346.74 | $602.56 | $741.31 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $109.65 Median $338.84 Typical High $588.84 | Professional | None | $109.65 | $338.84 | $588.84 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $4,677.35 Typical High $5,128.61 | Facility | None | $2,570.40 | $4,677.35 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $588.84 | Professional | None (both parts) | $309.03 | $426.58 | $588.84 |
10 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 26 · Professional part Typical Low $239.88 Median $295.12 Typical High $309.03 | Professional | 26 · Professional part | $239.88 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $67.61 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $194.98 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $338.84 Typical High $457.09 | Professional | 26 · Professional part | $281.84 | $338.84 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $208.93 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $467.74 Typical High $524.81 | Professional | 26 · Professional part | $446.68 | $467.74 | $524.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $147.91 | $154.88 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $380.19 | Professional | 26 · Professional part | $223.87 | $269.15 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $75.86 | $107.15 | $223.87 |
Where Utah sits
The same service costs 3.4 times more in Wisconsin 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
$240
WI $813UT $240
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.