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 $44.67 Median $44.67 Typical High $51.29 | Facility | None | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $36.31 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $13.18 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $30.90 | $44.67 |
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 $38.90 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $38.90 | $38.90 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $19.95 | Professional | 26 · Professional part | $12.30 | $12.30 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $26.30 | $26.30 | $46.77 |
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 $56.23 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $56.23 | $66.07 | $77.62 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $15.14 | $17.38 | $21.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $40.74 | $46.77 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Select Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $61.66 Typical High $128.82 | Professional | None (both parts) | $37.15 | $61.66 | $128.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $13.49 Median $38.90 Typical High $79.43 | Professional | None | $13.49 | $38.90 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $35.48 | $38.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $11.48 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $24.55 | $26.92 | $46.77 |
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 $19.95 Median $22.39 Typical High $29.51 | Professional | 52 · Reduced service | $19.95 | $22.39 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.91 Typical High $12.02 | Professional | 53 · Discontinued | $7.94 | $8.91 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $35.48 Typical High $35.48 | Professional | FX · Film X-ray | $32.36 | $35.48 | $35.48 |
Where Utah sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 50th of 51
$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.