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 $478.63 Median $1,412.54 Typical High $3,890.45 | Facility | None | $478.63 | $1,412.54 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $338.84 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $128.82 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $239.88 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $575.44 Typical High $602.56 | Professional | None (both parts) | $269.15 | $575.44 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $104.71 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $467.74 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $81.28 | $165.96 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,548.82 | Facility | None | $588.84 | $776.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $398.11 | $457.09 | $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 $275.42 Median $316.23 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $316.23 | $407.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $1,000.00 | Professional | None (both parts) | $257.04 | $436.52 | $1,000.00 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $114.82 Median $281.84 Typical High $588.84 | Professional | None | $114.82 | $281.84 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $275.42 | $426.58 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $81.28 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $239.88 | $478.63 |
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 $213.80 Median $239.88 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $128.82 | Professional | 53 · Discontinued | $85.11 | $95.50 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $380.19 | $512.86 |
Where Utah sits
The same service costs 5.9 times more in Wyoming 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
$191
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.