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 $478.63 Median $1,412.54 Typical High $3,890.45 | Facility | None | $478.63 | $1,412.54 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $426.58 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $128.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $302.00 | $302.00 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $338.84 | $912.01 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $79.43 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $257.04 | $812.83 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $81.28 | $229.09 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,548.82 | Facility | None | $588.84 | $776.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $724.44 | Professional | None (both parts) | $501.19 | $575.44 | $724.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $120.23 | $138.04 | $173.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $380.19 | $436.52 | $562.34 |
Select Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $1,412.54 | Professional | None (both parts) | $316.23 | $524.81 | $1,412.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $114.82 Median $389.05 Typical High $831.76 | Professional | None | $114.82 | $389.05 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $338.84 | $524.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $79.43 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $257.04 | $363.08 | $758.58 |
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 $234.42 Median $239.88 Typical High $398.11 | Professional | 52 · Reduced service | $234.42 | $239.88 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $158.49 | Professional | 53 · Discontinued | $95.50 | $95.50 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $380.19 | $512.86 |
Where Utah sits
The same service costs 5.6 times more in Wyoming 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
$245
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.