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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $269.15 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $177.83 Typical High $190.55 | Professional | 26 · Professional part | $162.18 | $177.83 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $104.71 | $114.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $316.23 | $346.74 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $213.80 Typical High $288.40 | Professional | 26 · Professional part | $194.98 | $213.80 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $120.23 | $134.90 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $77.62 | $141.25 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Facility | None | $870.96 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $263.03 | $281.84 | $371.54 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $169.82 | $177.83 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $102.33 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $257.04 | $371.54 | $758.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $512.86 | Professional | None | $112.20 | $245.47 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $229.09 | $281.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $275.42 | Professional | 26 · Professional part | $138.04 | $169.82 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $109.65 | $177.83 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $58.88 | $58.88 | $58.88 |
Where Utah sits
The same service costs 3.3 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
$182
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.