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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $123.03 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $66.07 | $74.13 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $64.57 | Professional | TC · Technical part | $51.29 | $56.23 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $144.54 | $154.88 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $89.13 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $66.07 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $95.50 | Professional | None (both parts) | $48.98 | $64.57 | $95.50 |
Regence BlueShield Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $933.25 | Facility | None | $478.63 | $645.65 | $933.25 |
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 $70.79 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $74.13 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $52.48 | $70.79 |
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 $173.78 Typical High $346.74 | Professional | None (both parts) | $114.82 | $173.78 | $346.74 |
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 $107.15 Median $131.83 Typical High $204.17 | Professional | None (both parts) | $107.15 | $131.83 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $70.79 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $56.23 | $91.20 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Where Utah sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 51st of 51
$72.44
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.