How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $3,235.94 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $398.11 Typical High $602.56 | Professional | 26 · Professional part | $380.19 | $398.11 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,174.90 Typical High $2,630.27 | Professional | TC · Technical part | $1,174.90 | $1,174.90 | $2,630.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $275.42 Median $1,380.38 Typical High $1,862.09 | Professional | None (both parts) | $275.42 | $1,380.38 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,041.74 Typical High $2,630.27 | Professional | None (both parts) | $1,905.46 | $2,041.74 | $2,630.27 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $371.54 Typical High $478.63 | Professional | 26 · Professional part | $354.81 | $371.54 | $478.63 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,659.59 Typical High $2,137.96 | Professional | TC · Technical part | $1,548.82 | $1,659.59 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,089.30 Typical High $3,890.45 | Professional | None (both parts) | $1,778.28 | $2,089.30 | $3,890.45 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $416.87 Median $1,995.26 Typical High $3,801.89 | Professional | None | $416.87 | $1,995.26 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,949.84 Typical High $2,951.21 | Professional | None (both parts) | $1,479.11 | $1,949.84 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $354.81 Typical High $549.54 | Professional | 26 · Professional part | $281.84 | $354.81 | $549.54 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,548.82 Typical High $2,398.83 | Professional | TC · Technical part | $1,174.90 | $1,548.82 | $2,398.83 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $338.84 | $338.84 | $338.84 |
Where Utah sits
The same service costs 3.2 times more in Alaska 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· 47th of 51
$1,549
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.