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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $162.18 | $162.18 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $66.07 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $93.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,380.38 Typical High $6,165.95 | Facility | None | $870.96 | $1,380.38 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $144.54 | $144.54 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $64.57 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $79.43 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $33.11 | $97.72 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,398.83 | Facility | None | $1,288.25 | $1,698.24 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $234.42 | $269.15 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $151.36 | $173.78 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Select Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $147.91 | $181.97 | $295.12 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $309.03 | Professional | None | $67.61 | $151.36 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $134.90 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $61.66 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $79.43 | $104.71 | $173.78 |
3 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 $79.43 Median $79.43 Typical High $123.03 | Professional | 52 · Reduced service | $79.43 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $48.98 | Professional | 53 · Discontinued | $32.36 | $32.36 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | FX · Film X-ray | $128.82 | $128.82 | $151.36 |
Where Utah sits
The same service costs 4.3 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
$120
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.