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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $323.59 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $44.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | TC · Technical part | $275.42 | $275.42 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $676.08 | Professional | None (both parts) | $380.19 | $380.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $60.26 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $323.59 | $323.59 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $33.11 | $316.23 | $398.11 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,584.89 | Facility | None | $870.96 | $1,096.48 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $407.38 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $407.38 | $436.52 | $562.34 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $51.29 | $66.07 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $380.19 Typical High $489.78 | Professional | TC · Technical part | $363.08 | $380.19 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $512.86 Typical High $776.25 | Professional | None (both parts) | $380.19 | $512.86 | $776.25 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $54.95 Median $416.87 Typical High $812.83 | Professional | None | $54.95 | $416.87 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $295.12 | $363.08 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $48.98 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $251.19 | $316.23 | $501.19 |
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 $162.18 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Where Utah sits
The same service costs 3.0 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· 45th of 51
$339
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.