How much rates vary
Facilitymedian $209 · 10th to 90th $48 to $407Professionalmedian $32 · 10th to 90th $23 to $74
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $40.74 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $17.38 | Professional | 26 · Professional part | $9.77 | $12.02 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | TC · Technical part | $30.90 | $36.31 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $43.65 | $43.65 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $31.62 | $31.62 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $22.91 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $407.38 | Facility | None | $173.78 | $229.09 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $87.10 | Professional | None (both parts) | $63.10 | $72.44 | $87.10 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $19.05 | $23.99 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $53.70 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Select Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $154.88 | Professional | None (both parts) | $40.74 | $50.12 | $154.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $14.45 Median $43.65 Typical High $95.50 | Professional | None | $14.45 | $43.65 | $95.50 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $39.81 | $45.71 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $20.89 | Professional | 26 · Professional part | $10.23 | $12.59 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $28.84 | $32.36 | $57.54 |
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 $22.39 Median $23.99 Typical High $33.88 | Professional | 52 · Reduced service | $22.39 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.77 Typical High $13.49 | Professional | 53 · Discontinued | $8.91 | $9.77 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | FX · Film X-ray | $36.31 | $38.90 | $39.81 |
Where Utah sits
The same service costs 3.9 times more in Alaska 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
$33.11
AK $129UT $33.11
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.