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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $38.90 | $40.74 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $7.94 | $9.77 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $30.90 | $30.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,949.84 | Facility | None | $263.03 | $426.58 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $34.67 | $34.67 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $9.33 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $50.12 | Professional | TC · Technical part | $25.70 | $25.70 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $22.91 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Facility | None | $398.11 | $524.81 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $57.54 | $64.57 | $79.43 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $11.22 | $12.88 | $16.60 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $52.48 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $52.48 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $39.81 | $48.98 | $74.13 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.96 Median $39.81 Typical High $83.18 | Professional | None | $10.96 | $39.81 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $72.44 | Professional | None (both parts) | $32.36 | $39.81 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $8.13 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $24.55 | $31.62 | $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 $19.05 Median $20.42 Typical High $30.20 | Professional | 52 · Reduced service | $19.05 | $20.42 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $12.30 | Professional | 53 · Discontinued | $7.76 | $8.13 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | FX · Film X-ray | $30.90 | $32.36 | $33.88 |
Where Utah sits
The same service costs 3.6 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
$31.62
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.