How much rates vary
Facilitymedian $955 · 10th to 90th $110 to $1,585Professionalmedian $112 · 10th to 90th $34 to $200
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $112.20 | $120.23 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $48.98 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $70.79 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $81.28 | Professional | None (both parts) | $30.20 | $33.88 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Facility | None | $870.96 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $107.15 | $112.20 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $41.69 | $43.65 | $56.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $69.18 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $4,265.80 Typical High $5,128.61 | Professional | None (both parts) | $52.48 | $4,265.80 | $5,128.61 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $38.02 Median $70.79 Typical High $147.91 | Professional | None | $38.02 | $70.79 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $93.33 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $41.69 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $54.95 | $204.17 | $323.59 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Where Utah sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 26th of 51
$112
HI $309KY $57.54
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.