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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $50.12 | $50.12 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.62 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $18.62 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $66.07 | Professional | TC · Technical part | $31.62 | $31.62 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $4,265.80 | Facility | None | $602.56 | $954.99 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $97.72 | Professional | None (both parts) | $45.71 | $45.71 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $18.62 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $69.18 | Professional | TC · Technical part | $27.54 | $27.54 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $87.10 | $102.33 | $120.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $23.99 | $28.18 | $34.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $70.79 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Select Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $69.18 Typical High $100.00 | Professional | None (both parts) | $56.23 | $69.18 | $100.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $22.91 Median $58.88 Typical High $112.20 | Professional | None | $22.91 | $58.88 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $46.77 | $57.54 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $16.22 | $18.20 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $38.90 | $66.07 |
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 $25.12 Median $25.12 Typical High $45.71 | Professional | 52 · Reduced service | $25.12 | $25.12 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $18.62 | Professional | 53 · Discontinued | $10.00 | $10.00 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | FX · Film X-ray | $40.74 | $40.74 | $54.95 |
Where Utah sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 51st of 51
$32.36
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.