How much rates vary
Facilitymedian $282 · 10th to 90th $91 to $457Professionalmedian $79 · 10th to 90th $26 to $112
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $87.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $45.71 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $39.81 | $39.81 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $93.33 | $93.33 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $57.54 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $36.31 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $35.48 Typical High $97.72 | Professional | None (both parts) | $25.12 | $35.48 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $95.50 | $100.00 | $131.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $50.12 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $50.12 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $91.20 | $117.49 | $177.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $158.49 | Professional | None | $44.67 | $77.62 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $70.79 | $89.13 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $47.86 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $67.61 | Professional | TC · Technical part | $33.11 | $41.69 | $67.61 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $18.20 | $18.20 | $18.20 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$79.43
AK $219AL $67.61
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.