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 $263.03 Median $537.03 Typical High $2,884.03 | Facility | None | $263.03 | $537.03 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $158.49 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $56.23 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $208.93 | $239.88 |
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 $125.89 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $125.89 | $257.04 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $44.67 | $63.10 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $81.28 | $194.98 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $446.68 | Facility | None | $173.78 | $229.09 | $446.68 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $186.21 | $218.78 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $75.86 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $177.83 | Professional | TC · Technical part | $120.23 | $138.04 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $120.23 | $199.53 | $426.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $58.88 Median $128.82 Typical High $288.40 | Professional | None | $58.88 | $128.82 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $134.90 | $199.53 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $41.69 | $46.77 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $112.20 | $239.88 |
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 $81.28 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $52.48 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $52.48 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $223.87 Typical High $223.87 | Professional | CT · Older CT scanner | $138.04 | $223.87 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $128.82 | $208.93 | $208.93 |
Where Utah sits
The same service costs 5.0 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
$105
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.