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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $42.66 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $18.62 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $33.11 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $81.28 | Professional | None (both parts) | $46.77 | $46.77 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $15.85 | $17.78 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $28.18 | $53.70 |
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 $173.78 Median $229.09 Typical High $407.38 | Facility | None | $173.78 | $229.09 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $91.20 | Professional | None (both parts) | $63.10 | $74.13 | $91.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $27.54 | Professional | 26 · Professional part | $19.05 | $21.88 | $27.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $61.66 | Professional | TC · Technical part | $44.67 | $51.29 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $169.82 | Professional | None (both parts) | $40.74 | $50.12 | $169.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $17.78 Median $43.65 Typical High $89.13 | Professional | None | $17.78 | $43.65 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $44.67 | $47.86 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $14.79 | $16.22 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $30.20 | $52.48 |
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 $22.39 Median $25.70 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $10.23 Typical High $13.49 | Professional | 53 · Discontinued | $9.12 | $10.23 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $36.31 | $40.74 | $40.74 |
Where Utah sits
The same service costs 4.0 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
$33.11
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.