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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $263.03 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $223.87 | $251.19 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $741.31 | Facility | None | $426.58 | $645.65 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $288.40 | $331.13 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $52.48 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $371.54 | Professional | TC · Technical part | $239.88 | $281.84 | $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 $269.15 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $269.15 | $288.40 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $43.65 | $54.95 |
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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $436.52 Typical High $512.86 | Professional | None (both parts) | $251.19 | $436.52 | $512.86 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $40.74 | $67.61 | $79.43 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $213.80 | $371.54 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $51.29 Median $275.42 Typical High $457.09 | Professional | None | $51.29 | $275.42 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $446.68 | Professional | None (both parts) | $229.09 | $295.12 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $194.98 | $234.42 | $407.38 |
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 $125.89 Median $147.91 Typical High $165.96 | Professional | 52 · Reduced service | $125.89 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $60.26 Typical High $66.07 | Professional | 53 · Discontinued | $50.12 | $60.26 | $66.07 |
Where Utah sits
The same service costs 3.1 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
$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.