How much rates vary
Facilitymedian $562 · 10th to 90th $151 to $912Professionalmedian $54 · 10th to 90th $26 to $138
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $79.43 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $18.62 | $20.42 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $173.78 | Professional | None (both parts) | $91.20 | $138.04 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $22.91 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $114.82 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $25.12 | $45.71 | $66.07 |
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 $72.44 Median $75.86 Typical High $100.00 | Professional | None (both parts) | $72.44 | $75.86 | $100.00 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $19.95 | $20.89 | $26.92 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $52.48 | $56.23 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $288.40 | Professional | None (both parts) | $67.61 | $102.33 | $288.40 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $23.44 Median $79.43 Typical High $151.36 | Professional | None | $23.44 | $79.43 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $64.57 | $97.72 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $15.49 | $19.50 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $44.67 | $69.18 | $158.49 |
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 $43.65 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $43.65 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $17.38 | $30.20 | $30.20 |
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
$54.95
AK $162TX $51.29
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.