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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $63.10 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $14.45 | $20.89 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $85.11 | Professional | TC · Technical part | $47.86 | $60.26 | $85.11 |
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 $69.18 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $69.18 | $70.79 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $19.95 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $50.12 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $25.12 | $44.67 | $63.10 |
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 $87.10 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $87.10 | $102.33 | $125.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $23.44 | $29.51 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $95.50 | Professional | TC · Technical part | $66.07 | $77.62 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Select Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $70.79 Typical High $123.03 | Professional | None (both parts) | $57.54 | $70.79 | $123.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $19.50 Median $61.66 Typical High $120.23 | Professional | None | $19.50 | $61.66 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $60.26 | $67.61 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $25.70 | Professional | 26 · Professional part | $15.49 | $16.98 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $83.18 | Professional | TC · Technical part | $44.67 | $47.86 | $83.18 |
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 $30.90 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $30.90 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $16.22 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $64.57 Typical High $64.57 | Professional | FX · Film X-ray | $50.12 | $64.57 | $64.57 |
Where Utah sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 49th of 51
$52.48
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.