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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $107.15 | $107.15 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $36.31 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $69.18 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $446.68 | Facility | None | $190.55 | $389.05 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $186.21 | $239.88 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $40.74 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $199.53 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $33.88 | $100.00 | $158.49 |
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 $177.83 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $177.83 | $186.21 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $40.74 | $45.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $138.04 | $154.88 | $199.53 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $346.74 | Professional | None (both parts) | $165.96 | $302.00 | $346.74 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $64.57 | $75.86 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $234.42 | $275.42 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $165.96 Typical High $288.40 | Professional | None | $41.69 | $165.96 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $144.54 | $204.17 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $29.51 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $151.36 | $251.19 |
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 $53.70 Median $53.70 Typical High $87.10 | Professional | 52 · Reduced service | $53.70 | $53.70 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $35.48 | Professional | 53 · Discontinued | $21.38 | $21.38 | $35.48 |
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
$117
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.