How much rates vary
Facilitymedian $562 · 10th to 90th $69 to $912Professionalmedian $31 · 10th to 90th $23 to $69
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $43.65 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $16.98 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $33.11 | $52.48 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $50.12 | $69.18 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $19.50 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $56.23 | Professional | TC · Technical part | $38.02 | $50.12 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $33.88 | Professional | None (both parts) | $23.44 | $27.54 | $33.88 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Facility | None | $478.63 | $645.65 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $50.12 | Professional | None (both parts) | $42.66 | $45.71 | $50.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $11.75 | $12.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $33.88 Typical High $37.15 | Professional | TC · Technical part | $31.62 | $33.88 | $37.15 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $40.74 | $72.44 | $89.13 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $18.62 | $21.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $53.70 | $67.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $15.85 Median $52.48 Typical High $154.88 | Professional | None | $15.85 | $52.48 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $48.98 | $58.88 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $12.88 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $45.71 | $72.44 |
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 $21.88 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $21.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $8.71 | $13.80 | $13.80 |
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
$31.62
MN $105UT $31.62
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.