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 $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $43.65 | Professional | None (both parts) | $26.92 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $9.33 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $19.50 | $20.89 | $30.90 |
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 $26.92 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $26.92 | $26.92 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $9.33 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $35.48 | Professional | TC · Technical part | $17.78 | $17.78 | $35.48 |
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 $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 $44.67 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $44.67 | $51.29 | $61.66 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $12.30 | $14.13 | $17.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $32.36 | $37.15 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $28.84 | $35.48 | $53.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $11.75 Median $29.51 Typical High $58.88 | Professional | None | $11.75 | $29.51 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $26.30 | $30.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $9.33 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $21.88 | $35.48 |
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 $15.14 Median $15.14 Typical High $23.44 | Professional | 52 · Reduced service | $15.14 | $15.14 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.33 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | FX · Film X-ray | $23.99 | $23.99 | $28.18 |
Where Utah sits
The same service costs 4.3 times more in Alaska than in New York. 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· 43rd of 51
$30.20
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.