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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $194.98 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $40.74 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $173.78 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $537.03 | Facility | None | $416.87 | $467.74 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $218.78 | $295.12 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $38.90 | $44.67 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $245.47 | $275.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $33.11 | $151.36 | $194.98 |
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 $204.17 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $204.17 | $213.80 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $38.02 | $47.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $177.83 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $190.55 | $323.59 | $380.19 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $57.54 | $67.61 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $154.88 | $263.03 | $309.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $204.17 Typical High $323.59 | Professional | None | $41.69 | $204.17 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $177.83 | $245.47 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $144.54 | $177.83 | $288.40 |
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 $95.50 Median $107.15 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $42.66 | $50.12 |
Where Utah sits
The same service costs 3.5 times more in Minnesota 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
$158
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.