How much rates vary
Facilitymedian $282 · 10th to 90th $74 to $457Professionalmedian $87 · 10th to 90th $35 to $135
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $74.13 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $35.48 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $218.78 | Professional | None (both parts) | $72.44 | $72.44 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $42.66 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $117.49 | Professional | TC · Technical part | $30.20 | $30.20 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $33.11 | $66.07 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $251.19 Median $323.59 Typical High $467.74 | Facility | None | $251.19 | $323.59 | $467.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $112.20 | $117.49 | $154.88 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $38.90 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $79.43 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $245.47 | Professional | None (both parts) | $100.00 | $112.20 | $245.47 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $97.72 Typical High $213.80 | Professional | None | $41.69 | $97.72 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $63.10 | $95.50 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $36.31 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $60.26 Typical High $97.72 | Professional | TC · Technical part | $31.62 | $60.26 | $97.72 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $14.79 | $14.79 | $14.79 |
Where Utah sits
The same service costs 3.5 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
$91.20
AK $229KY $64.57
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.