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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $123.03 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $26.92 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $109.65 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $346.74 | Facility | None | $190.55 | $302.00 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $134.90 | $194.98 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $30.20 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $162.18 | $177.83 |
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 $128.82 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $128.82 | $138.04 | $177.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $23.99 | $30.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $112.20 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $120.23 | $204.17 | $239.88 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $37.15 | $43.65 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $165.96 | $194.98 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $25.70 Median $128.82 Typical High $204.17 | Professional | None | $25.70 | $128.82 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $109.65 | $154.88 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $22.91 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $109.65 | $181.97 |
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 $61.66 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $26.92 | $31.62 |
Where Utah sits
The same service costs 4.0 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
$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.