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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $66.07 | Professional | None (both parts) | $38.02 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $12.88 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $33.11 | $47.86 |
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 $39.81 Median $39.81 Typical High $77.62 | Professional | None (both parts) | $39.81 | $39.81 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $27.54 | $27.54 | $51.29 |
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 $58.88 Median $69.18 Typical High $83.18 | Professional | None (both parts) | $58.88 | $69.18 | $83.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.95 Typical High $24.55 | Professional | 26 · Professional part | $16.98 | $19.95 | $24.55 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $42.66 | $50.12 | $58.88 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Select Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $131.83 | Professional | None (both parts) | $39.81 | $48.98 | $131.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $15.14 Median $40.74 Typical High $85.11 | Professional | None | $15.14 | $40.74 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $38.02 | $40.74 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $12.88 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.18 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $28.18 | $48.98 |
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 $21.38 Median $22.91 Typical High $31.62 | Professional | 52 · Reduced service | $21.38 | $22.91 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.12 Typical High $12.59 | Professional | 53 · Discontinued | $8.51 | $9.12 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $36.31 Typical High $37.15 | Professional | FX · Film X-ray | $33.88 | $36.31 | $37.15 |
Where Utah sits
The same service costs 3.7 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
$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.