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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $229.09 | $229.09 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $54.95 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | TC · Technical part | $173.78 | $173.78 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $758.58 | Facility | None | $426.58 | $660.69 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $323.59 | $363.08 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $263.03 | $302.00 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $33.88 | $208.93 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $724.44 | Facility | None | $398.11 | $501.19 | $724.44 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $281.84 | $316.23 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $48.98 | $52.48 | $67.61 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $263.03 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $263.03 | $467.74 | $549.54 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $81.28 | $95.50 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $389.05 | $457.09 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $281.84 Typical High $457.09 | Professional | None | $57.54 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $245.47 | $331.13 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $245.47 | $426.58 |
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 $114.82 Median $114.82 Typical High $177.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $72.44 | Professional | 53 · Discontinued | $45.71 | $45.71 | $72.44 |
Where Utah sits
The same service costs 3.0 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
$214
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.