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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $91.20 | $102.33 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $45.71 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $57.54 | $128.82 |
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 $95.50 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $95.50 | $95.50 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $44.67 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $50.12 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
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 $158.49 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $158.49 | $173.78 | $208.93 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $58.88 | $67.61 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $104.71 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $104.71 | $125.89 | $181.97 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $208.93 | Professional | None | $47.86 | $100.00 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $93.33 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $66.07 | $109.65 |
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 $51.29 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $51.29 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 53 · Discontinued | $20.42 | $20.42 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $83.18 | $93.33 |
Where Utah sits
The same service costs 4.4 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
$74.13
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.