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 $338.84 Median $812.83 Typical High $2,884.03 | Facility | None | $338.84 | $812.83 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $204.17 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $69.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $269.15 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $269.15 | $309.03 |
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 $162.18 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $162.18 | $309.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $67.61 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $239.88 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $33.88 | $100.00 | $158.49 |
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 $239.88 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $239.88 | $281.84 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $77.62 | $89.13 | $112.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $186.21 | $239.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $154.88 | $251.19 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $165.96 Typical High $363.08 | Professional | None | $74.13 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $169.82 | $239.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $53.70 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $114.82 | $144.54 | $269.15 |
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 $102.33 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $102.33 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $288.40 Typical High $288.40 | Professional | CT · Older CT scanner | $177.83 | $288.40 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $269.15 Typical High $269.15 | Professional | FX · Film X-ray | $165.96 | $269.15 | $269.15 |
Where Utah sits
The same service costs 5.9 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
$126
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.