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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $120.23 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $15.14 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $100.00 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $436.52 | Facility | None | $190.55 | $380.19 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $177.83 | $229.09 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $38.02 | Professional | 26 · Professional part | $16.60 | $16.60 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $213.80 | $223.87 |
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 $158.49 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $158.49 | $186.21 | $218.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $25.12 | $29.51 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $134.90 | $158.49 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $281.84 Typical High $371.54 | Facility | None | $128.82 | $281.84 | $371.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $147.91 | $251.19 | $295.12 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $40.74 | $47.86 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $125.89 | $213.80 | $245.47 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $28.84 Median $162.18 Typical High $257.04 | Professional | None | $28.84 | $162.18 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $141.25 | $162.18 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $12.88 | $25.12 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $131.83 | $229.09 |
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 $60.26 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $24.55 | $27.54 |
Where Utah sits
The same service costs 3.7 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
$97.72
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.