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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $371.54 | $371.54 | $501.19 |
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 $302.00 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $302.00 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $831.76 | Professional | None (both parts) | $323.59 | $323.59 | $831.76 |
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 $251.19 Median $251.19 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $251.19 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $54.95 | $346.74 | $457.09 |
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 $524.81 Typical High $676.08 | Professional | None (both parts) | $489.78 | $524.81 | $676.08 |
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 $436.52 Median $457.09 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $457.09 | $602.56 |
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 $446.68 Median $512.86 Typical High $933.25 | Professional | None (both parts) | $446.68 | $512.86 | $933.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $70.79 Median $501.19 Typical High $1,023.29 | Professional | None | $70.79 | $501.19 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $239.88 | $436.52 | $707.95 |
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 $269.15 Median $380.19 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $380.19 | $616.60 |
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 $186.21 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $74.13 | $79.43 |
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· 47th of 51
$372
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.