How much rates vary
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $194.98 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $218.78 | $389.05 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $52.48 | $112.20 | $190.55 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $338.84 | $363.08 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $588.84 | Professional | None (both parts) | $199.53 | $354.81 | $588.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $66.07 Median $194.98 Typical High $338.84 | Professional | None | $66.07 | $194.98 | $338.84 |
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 $186.21 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $186.21 | $269.15 | $380.19 |
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 $147.91 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $147.91 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $97.72 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $38.90 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $117.49 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $257.04 Typical High $269.15 | Professional | 26 · Professional part | $162.18 | $257.04 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $128.82 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $128.82 | $131.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $269.15 Typical High $295.12 | Professional | 26 · Professional part | $251.19 | $269.15 | $295.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $89.13 | $95.50 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $169.82 Typical High $263.03 | Professional | 26 · Professional part | $134.90 | $169.82 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $47.86 | $67.61 | $134.90 |
Where Utah sits
The same service costs 3.5 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
$132
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.