How much rates vary
Facilitymedian $562 · 10th to 90th $331 to $912Professionalmedian $316 · 10th to 90th $55 to $468
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $331.13 | $331.13 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $63.10 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | TC · Technical part | $269.15 | $269.15 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $707.95 | Professional | None (both parts) | $295.12 | $295.12 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $69.18 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $223.87 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $54.95 | $295.12 | $389.05 |
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 $426.58 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $426.58 | $446.68 | $588.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $60.26 | $64.57 | $83.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $363.08 | $389.05 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $380.19 | $436.52 | $812.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $436.52 Typical High $831.76 | Professional | None | $72.44 | $436.52 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $616.60 | Professional | None (both parts) | $234.42 | $380.19 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $60.26 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $309.03 | $501.19 |
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 $165.96 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 53 · Discontinued | $66.07 | $66.07 | $69.18 |
Where Utah sits
The same service costs 3.0 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· 48th of 51
$316
AK $794NM $269
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.