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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $120.23 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $58.88 | $74.13 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $125.89 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $204.17 | Facility | None | $158.49 | $177.83 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $144.54 | $208.93 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $83.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $128.82 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $48.98 | $64.57 | $95.50 |
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 $134.90 Typical High $173.78 | Professional | None (both parts) | $128.82 | $134.90 | $173.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $67.61 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $67.61 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $123.03 | $213.80 | $251.19 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $109.65 | $125.89 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $107.15 | $125.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $208.93 | Professional | None | $69.18 | $102.33 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $109.65 | $165.96 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $63.10 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $66.07 | $131.83 |
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 $58.88 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $39.81 | $39.81 |
Where Utah sits
The same service costs 4.6 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
$69.18
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.