How much rates vary
Facilitymedian $331 · 10th to 90th $200 to $2,188Professionalmedian $76 · 10th to 90th $35 to $186
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 $213.80 Median $537.03 Typical High $2,884.03 | Facility | None | $213.80 | $537.03 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $131.83 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $165.96 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $602.56 | Facility | None | $467.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $102.33 | $194.98 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $46.77 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $64.57 | $147.91 | $169.82 |
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 $173.78 Median $229.09 Typical High $446.68 | Facility | None | $173.78 | $229.09 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $223.87 | Professional | None (both parts) | $154.88 | $177.83 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $64.57 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $112.20 | $141.25 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $100.00 | $165.96 | $263.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $104.71 Typical High $229.09 | Professional | None | $47.86 | $104.71 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $100.00 | $158.49 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $37.15 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $77.62 | $173.78 |
4 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 $66.07 Median $107.15 Typical High $117.49 | Professional | 52 · Reduced service | $66.07 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $42.66 Typical High $46.77 | Professional | 53 · Discontinued | $26.30 | $42.66 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $181.97 Typical High $181.97 | Professional | CT · Older CT scanner | $112.20 | $181.97 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $169.82 Typical High $169.82 | Professional | FX · Film X-ray | $104.71 | $169.82 | $169.82 |
Where Utah sits
The same service costs 20.4 times more in Vermont 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
$77.62
VT $1,585UT $77.62
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.