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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.44 Typical High $28.18 | Professional | None (both parts) | $18.20 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $12.88 | Professional | 26 · Professional part | $9.12 | $11.75 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $12.02 Typical High $14.13 | Professional | TC · Technical part | $9.33 | $12.02 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $724.44 | Facility | None | $95.50 | $158.49 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.88 Typical High $33.88 | Professional | None (both parts) | $21.38 | $21.88 | $33.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $11.22 | $11.22 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $10.96 Typical High $17.78 | Professional | TC · Technical part | $10.00 | $10.96 | $17.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $19.05 Typical High $60.26 | Professional | None (both parts) | $8.51 | $19.05 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $269.15 | Facility | None | $144.54 | $190.55 | $269.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $26.92 | $29.51 | $38.02 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $14.13 | $15.85 | $19.95 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $13.80 Typical High $17.78 | Professional | TC · Technical part | $12.88 | $13.80 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $40.74 | Professional | None (both parts) | $18.20 | $22.39 | $40.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $38.02 | Professional | None | $9.55 | $17.38 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.88 Typical High $33.11 | Professional | None (both parts) | $19.50 | $21.88 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $10.72 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.23 Typical High $16.60 | Professional | TC · Technical part | $8.71 | $10.23 | $16.60 |
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 $9.12 Median $11.75 Typical High $14.13 | Professional | 52 · Reduced service | $9.12 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.68 Typical High $5.62 | Professional | 53 · Discontinued | $3.63 | $4.68 | $5.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | FX · Film X-ray | $14.45 | $19.05 | $19.05 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 28th of 51
$25.12
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.