How much rates vary
Facilitymedian $562 · 10th to 90th $162 to $912Professionalmedian $151 · 10th to 90th $35 to $224
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $151.36 | $151.36 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $35.48 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $114.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $33.11 | $134.90 | $190.55 |
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 $194.98 Median $204.17 Typical High $269.15 | Professional | None (both parts) | $194.98 | $204.17 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $30.90 | $39.81 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $165.96 | $173.78 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Select Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $177.83 | $194.98 | $331.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $34.67 Median $169.82 Typical High $354.81 | Professional | None | $34.67 | $169.82 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $114.82 | $147.91 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $28.84 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $120.23 | $208.93 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $32.36 | $32.36 | $32.36 |
Where Utah sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 43rd of 51
$151
AK $324KY $115
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.