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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None (both parts) | $87.10 | $87.10 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | TC · Technical part | $44.67 | $44.67 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $95.50 | $102.33 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $51.29 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $51.29 | $52.48 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $89.13 | $95.50 | $123.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $42.66 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $52.48 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $85.11 | $125.89 | $173.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $43.65 Median $77.62 Typical High $154.88 | Professional | None | $43.65 | $77.62 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $72.44 | $91.20 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $40.74 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $39.81 | $47.86 | $75.86 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $17.38 | $17.38 | $17.38 |
Where Utah sits
The same service costs 3.0 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· 45th of 51
$77.62
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.