How much rates vary
Facilitymedian $562 · 10th to 90th $174 to $912Professionalmedian $107 · 10th to 90th $35 to $182
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $154.88 | $154.88 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $30.90 | $35.48 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $120.23 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $33.11 | $93.33 | $131.83 |
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 $154.88 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $154.88 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $28.84 | $30.20 | $39.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $131.83 Typical High $186.21 | Professional | TC · Technical part | $125.89 | $131.83 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $144.54 | $194.98 | $501.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $33.88 Median $151.36 Typical High $288.40 | Professional | None | $33.88 | $151.36 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $109.65 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $28.84 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $117.49 | $190.55 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $34.67 | $34.67 | $34.67 |
Where Utah sits
The same service costs 3.2 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
$107
AK $324TX $102
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.