How much rates vary
Facilitymedian $562 · 10th to 90th $407 to $933Professionalmedian $380 · 10th to 90th $83 to $537
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $407.38 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $302.00 | $302.00 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $794.33 | Professional | None (both parts) | $389.05 | $389.05 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $112.20 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $630.96 | Professional | TC · Technical part | $275.42 | $275.42 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $83.18 | $338.84 | $478.63 |
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 $489.78 Median $512.86 Typical High $660.69 | Professional | None (both parts) | $489.78 | $512.86 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $91.20 | $97.72 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $398.11 | $416.87 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $1,148.15 | Professional | None (both parts) | $457.09 | $501.19 | $1,148.15 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $436.52 Typical High $933.25 | Professional | None | $102.33 | $436.52 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $691.83 | Professional | None (both parts) | $338.84 | $436.52 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $91.20 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $338.84 | $562.34 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 47th of 51
$380
AK $977NM $302
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.