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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $263.03 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $107.15 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $173.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $724.44 | Facility | None | $426.58 | $645.65 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $331.13 | $446.68 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $120.23 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $371.54 | Professional | TC · Technical part | $263.03 | $323.59 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $33.88 | $190.55 | $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 $288.40 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $288.40 | $302.00 | $398.11 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $58.88 | $63.10 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $229.09 | $245.47 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $269.15 | $457.09 | $537.03 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $57.54 | $95.50 | $112.20 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $208.93 | $354.81 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $281.84 Typical High $457.09 | Professional | None | $72.44 | $281.84 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $245.47 | $354.81 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $63.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $239.88 | $389.05 |
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 $131.83 Median $138.04 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $53.70 | $56.23 | $70.79 |
Where Utah sits
The same service costs 3.3 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
$204
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.