How much rates vary
Facilitymedian $234 · 10th to 90th $151 to $380Professionalmedian $110 · 10th to 90th $54 to $182
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $58.88 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $151.36 | $151.36 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $93.33 | $102.33 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $51.29 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $52.48 | $87.10 | $162.18 |
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 $169.82 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $169.82 | $177.83 | $239.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $91.20 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $87.10 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $478.63 | Professional | None (both parts) | $162.18 | $190.55 | $478.63 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $316.23 | Professional | None | $77.62 | $151.36 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $131.83 | $181.97 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $87.10 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $91.20 | $138.04 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.20 |
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
$112
AK $398TX $102
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.