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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $89.13 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $67.61 | Professional | TC · Technical part | $66.07 | $66.07 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $169.82 | $194.98 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $100.00 | $120.23 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $77.62 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $87.10 Typical High $162.18 | Professional | None (both parts) | $52.48 | $87.10 | $162.18 |
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 $162.18 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $162.18 | $169.82 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $93.33 | $97.72 | $125.89 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $69.18 | $72.44 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $309.03 | Professional | None (both parts) | $154.88 | $223.87 | $309.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $75.86 Median $141.25 Typical High $275.42 | Professional | None | $75.86 | $141.25 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $134.90 | $165.96 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $95.50 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $66.07 | $107.15 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.11 |
Where Utah sits
The same service costs 3.6 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
$110
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.