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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $123.03 | $151.36 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | TC · Technical part | $134.90 | $134.90 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $58.88 Typical High $72.44 | Professional | None (both parts) | $51.29 | $58.88 | $72.44 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,659.59 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,659.59 | $2,089.30 | $3,019.95 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $114.82 | $123.03 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $87.10 | $117.49 | $190.55 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $218.78 | Professional | None | $95.50 | $158.49 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $177.83 | Professional | None (both parts) | $91.20 | $120.23 | $177.83 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.44 |
Where Utah sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 30th of 51
$117
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.