How much rates vary
Facilitymedian $468 · 10th to 90th $331 to $2,188Professionalmedian $166 · 10th to 90th $83 to $468
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 $467.74 Median $954.99 Typical High $2,884.03 | Facility | None | $467.74 | $954.99 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $316.23 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $107.15 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $363.08 | $457.09 |
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 $275.42 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $275.42 | $501.19 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $144.54 | Professional | 26 · Professional part | $81.28 | $104.71 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $398.11 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $398.11 | $457.09 |
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 $407.38 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $407.38 | $467.74 | $588.84 |
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 $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 $245.47 Median $416.87 Typical High $812.83 | Professional | None (both parts) | $245.47 | $416.87 | $812.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $97.72 Median $281.84 Typical High $602.56 | Professional | None | $97.72 | $281.84 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $549.54 | Professional | None (both parts) | $263.03 | $380.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $79.43 | $81.28 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $239.88 | $426.58 |
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 $158.49 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $158.49 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $63.10 | $93.33 | $100.00 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $269.15 Median $398.11 Typical High $398.11 | Professional | CT · Older CT scanner | $269.15 | $398.11 | $398.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $371.54 Typical High $371.54 | Professional | FX · Film X-ray | $251.19 | $371.54 | $371.54 |
Where Utah sits
The same service costs 12.3 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
VT $2,089UT $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.