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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $52.48 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $45.71 | $45.71 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $104.71 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $63.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $112.20 | Professional | TC · Technical part | $40.74 | $40.74 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $128.82 | Professional | None (both parts) | $48.98 | $64.57 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $204.17 Median $263.03 Typical High $389.05 | Facility | None | $204.17 | $263.03 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $120.23 | $128.82 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $57.54 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $70.79 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $363.08 | Professional | None (both parts) | $114.82 | $131.83 | $363.08 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $234.42 | Professional | None | $57.54 | $109.65 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $93.33 | $125.89 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $54.95 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $69.18 | $107.15 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $20.89 | $20.89 | $20.89 |
Where Utah sits
The same service costs 3.9 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· 50th of 51
$87.10
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.