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 $457.09 Median $954.99 Typical High $2,884.03 | Facility | None | $457.09 | $954.99 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $549.54 | Professional | None (both parts) | $309.03 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $97.72 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $218.78 | $363.08 | $426.58 |
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 $269.15 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $269.15 | $630.96 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $77.62 | $95.50 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $190.55 | $537.03 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $81.28 | $141.25 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $812.83 | Facility | None | $295.12 | $380.19 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $398.11 | $457.09 | $575.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $117.49 | $134.90 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $281.84 | $323.59 | $416.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $1,000.00 | Professional | None (both parts) | $239.88 | $407.38 | $1,000.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $87.10 Median $275.42 Typical High $549.54 | Professional | None | $87.10 | $275.42 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $257.04 | $398.11 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $75.86 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $239.88 | $478.63 |
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 $154.88 Median $229.09 Typical High $245.47 | Professional | 52 · Reduced service | $154.88 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $91.20 Typical High $97.72 | Professional | 53 · Discontinued | $61.66 | $91.20 | $97.72 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $389.05 Typical High $389.05 | Professional | CT · Older CT scanner | $263.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $245.47 | $363.08 | $363.08 |
Where Utah sits
The same service costs 7.6 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
$170
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.