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 $389.05 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $389.05 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $120.23 | $128.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $269.15 | $302.00 | $489.78 |
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 $309.03 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $309.03 | $724.44 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $102.33 | $128.82 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $602.56 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $81.28 | $169.82 | $288.40 |
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 $457.09 Median $537.03 Typical High $676.08 | Professional | None (both parts) | $457.09 | $537.03 | $676.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $151.36 | $173.78 | $218.78 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $457.09 | Professional | TC · Technical part | $309.03 | $346.74 | $457.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $512.86 Typical High $794.33 | Professional | None (both parts) | $295.12 | $512.86 | $794.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $144.54 Median $323.59 Typical High $707.95 | Professional | None | $144.54 | $323.59 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $316.23 | $501.19 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $97.72 | $100.00 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $263.03 | $724.44 |
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 $218.78 Median $239.88 Typical High $371.54 | Professional | 52 · Reduced service | $218.78 | $239.88 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $147.91 | Professional | 53 · Discontinued | $87.10 | $95.50 | $147.91 |
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 6.6 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
$204
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.