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 $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 $61.66 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $61.66 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $33.11 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $33.11 | $35.48 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $70.79 | $70.79 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $37.15 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $34.67 | $34.67 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
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 $69.18 Median $74.13 Typical High $81.28 | Professional | None (both parts) | $69.18 | $74.13 | $81.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $31.62 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $46.77 | Professional | TC · Technical part | $39.81 | $42.66 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $66.07 | $117.49 | $144.54 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $51.29 | $60.26 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $37.15 | $67.61 | $83.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $30.90 Median $56.23 Typical High $138.04 | Professional | None | $30.90 | $56.23 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $102.33 | Professional | None (both parts) | $54.95 | $60.26 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $28.84 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $30.90 | $51.29 |
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 $30.90 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $12.30 | $13.80 | $13.80 |
Where Utah sits
The same service costs 3.6 times more in Minnesota than in Texas. 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· 50th of 51
$48.98
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.