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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $165.96 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $29.51 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $141.25 | $213.80 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $478.63 | Facility | None | $269.15 | $416.87 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $194.98 | $269.15 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $33.11 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $234.42 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $91.20 | $114.82 | $138.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $257.04 Median $338.84 Typical High $478.63 | Facility | None | $257.04 | $338.84 | $478.63 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $173.78 | $186.21 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $25.70 | $27.54 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $158.49 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $162.18 | $288.40 | $338.84 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $42.66 | $50.12 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $245.47 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $30.20 Median $181.97 Typical High $288.40 | Professional | None | $30.20 | $181.97 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $147.91 | $213.80 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $25.70 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | TC · Technical part | $125.89 | $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 $81.28 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $47.86 | $47.86 |
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
$126
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.