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 $1,071.52 Typical High $3,890.45 | Facility | None | $478.63 | $1,071.52 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $630.96 | Professional | None (both parts) | $263.03 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $79.43 | $128.82 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $302.00 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $831.76 | Facility | None | $575.44 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $186.21 | $467.74 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $117.49 | Professional | 26 · Professional part | $66.07 | $81.28 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $380.19 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $380.19 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $53.70 | $114.82 | $158.49 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $933.25 | Facility | None | $398.11 | $524.81 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $275.42 | $323.59 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $97.72 | $114.82 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $204.17 | $263.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $177.83 | $316.23 | $478.63 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $93.33 Median $194.98 Typical High $436.52 | Professional | None | $93.33 | $194.98 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $602.56 | Professional | None (both parts) | $186.21 | $323.59 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $64.57 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $151.36 | $416.87 |
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 $186.21 Median $239.88 Typical High $302.00 | Professional | 52 · Reduced service | $186.21 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $123.03 | Professional | 53 · Discontinued | $75.86 | $95.50 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $269.15 Median $380.19 Typical High $489.78 | Professional | FX · Film X-ray | $269.15 | $380.19 | $489.78 |
Where Utah sits
The same service costs 24.0 times more in Vermont 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
$123
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.