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 $1,348.96 Typical High $3,890.45 | Facility | None | $478.63 | $1,348.96 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,548.82 | Professional | None (both parts) | $478.63 | $478.63 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $346.74 | Professional | 26 · Professional part | $128.82 | $128.82 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $1,288.25 | Professional | TC · Technical part | $302.00 | $302.00 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $741.31 | Facility | None | $575.44 | $645.65 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,621.81 Typical High $2,238.72 | Professional | None (both parts) | $1,513.56 | $1,621.81 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $173.78 | $190.55 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,412.54 Typical High $1,995.26 | Professional | TC · Technical part | $1,348.96 | $1,412.54 | $1,995.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $158.49 | $162.18 | $181.97 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,041.74 Typical High $2,818.38 | Professional | None (both parts) | $1,949.84 | $2,041.74 | $2,818.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $245.47 Typical High $309.03 | Professional | 26 · Professional part | $213.80 | $245.47 | $309.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,819.70 Typical High $2,511.89 | Professional | TC · Technical part | $1,737.80 | $1,819.70 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $741.31 Typical High $5,011.87 | Professional | None (both parts) | $630.96 | $741.31 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $2,238.72 | Professional | None | $147.91 | $302.00 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $549.54 Typical High $1,202.26 | Professional | None (both parts) | $316.23 | $549.54 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $275.42 | Professional | 26 · Professional part | $120.23 | $147.91 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $407.38 | $794.33 |
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 $239.88 Median $239.88 Typical High $707.95 | Professional | 52 · Reduced service | $239.88 | $239.88 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $281.84 | Professional | 53 · Discontinued | $95.50 | $95.50 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $724.44 | Professional | FX · Film X-ray | $380.19 | $380.19 | $724.44 |
Where Utah sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 41st of 51
$575
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.