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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $173.78 | Professional | None (both parts) | $147.91 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $93.33 | Professional | 26 · Professional part | $79.43 | $89.13 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $75.86 | Professional | TC · Technical part | $61.66 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $173.78 | $186.21 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $97.72 | $107.15 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $74.13 | $79.43 | $102.33 |
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 $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 $144.54 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $144.54 | $154.88 | $199.53 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $85.11 | $89.13 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $64.57 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Select Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $138.04 | $208.93 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $69.18 Median $131.83 Typical High $281.84 | Professional | None | $69.18 | $131.83 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $128.82 | $154.88 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $85.11 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $67.61 | $109.65 |
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 $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $31.62 | $31.62 | $31.62 |
Where Utah sits
The same service costs 4.0 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· 50th of 51
$91.20
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.