How much rates vary
Facilitymedian $71 · 10th to 90th $15 to $115Professionalmedian $23 · 10th to 90th $15 to $28
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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | None (both parts) | $14.79 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $8.51 | Professional | 26 · Professional part | $6.76 | $6.76 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $10.47 | Professional | TC · Technical part | $8.13 | $8.13 | $10.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $21.88 Typical High $60.26 | Professional | None (both parts) | $15.85 | $21.88 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $117.49 | Facility | None | $61.66 | $81.28 | $117.49 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $21.38 | $22.91 | $25.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.71 Typical High $9.55 | Professional | 26 · Professional part | $8.13 | $8.71 | $9.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $14.13 Typical High $15.85 | Professional | TC · Technical part | $13.49 | $14.13 | $15.85 |
Select Health Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Select Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.92 Typical High $40.74 | Professional | None (both parts) | $22.39 | $26.92 | $40.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.33 Median $17.38 Typical High $33.11 | Professional | None | $9.33 | $17.38 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $20.89 Typical High $27.54 | Professional | None (both parts) | $16.98 | $20.89 | $27.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $8.51 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.22 Typical High $15.85 | Professional | TC · Technical part | $9.55 | $11.22 | $15.85 |
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 $7.41 Median $7.41 Typical High $9.33 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.72 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.72 |
Where Utah sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 24th of 51
$22.91
WI $39.81NC $17.38
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.