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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $158.49 | $158.49 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $35.48 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $123.03 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $33.11 | $123.03 | $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 $169.82 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $169.82 | $177.83 | $257.04 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $29.51 | $31.62 | $40.74 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $147.91 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $158.49 | $199.53 | $478.63 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $169.82 Typical High $323.59 | Professional | None | $34.67 | $169.82 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $114.82 | $158.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $29.51 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $125.89 | $223.87 |
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 $89.13 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $35.48 | $35.48 | $35.48 |
Where Utah sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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· 46th of 51
$135
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.