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Utah rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Facilitymedian $11 · 10th–90th $11$110%50%$11Professionalmedian $15 · 10th–90th $8$370%10%10th90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $42.66
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.72 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.03 / $10.00 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $40.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.80 / $21.38
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.71 / $12.30 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $15.85 / $24.55
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$11.48 / $14.45 / $20.89
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $29.51 / $40.74
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.85 / $21.88
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.71 / $13.49 / $17.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $35.48
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $10.72 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.13 / $10.47 / $19.05