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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $131.83 | $194.98 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $23.99 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $354.81 | Facility | None | $190.55 | $309.03 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $151.36 | $194.98 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $26.92 | $26.92 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $165.96 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $69.18 | $85.11 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $316.23 | Facility | None | $173.78 | $218.78 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $134.90 | $144.54 | $186.21 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $27.54 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $109.65 | $117.49 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $125.89 | $218.78 | $257.04 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $42.66 | $50.12 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $173.78 | $204.17 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $27.54 Median $131.83 Typical High $213.80 | Professional | None | $27.54 | $131.83 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $117.49 | $158.49 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $93.33 | $114.82 | $199.53 |
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 $63.10 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $63.10 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $25.12 | $38.90 | $38.90 |
Where Utah sits
The same service costs 3.3 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
$95.50
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.