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 $1,348.96 Typical High $3,890.45 | Facility | None | $478.63 | $1,348.96 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $478.63 | $478.63 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $109.65 | $128.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $302.00 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $741.31 | Facility | None | $575.44 | $645.65 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $331.13 | $588.84 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $79.43 | $97.72 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $489.78 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $489.78 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $81.28 | $229.09 | $316.23 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $489.78 | $562.34 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $138.04 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $138.04 | $169.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $416.87 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $416.87 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $954.99 | Professional | None (both parts) | $309.03 | $512.86 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $112.20 Median $354.81 Typical High $707.95 | Professional | None | $112.20 | $354.81 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $446.68 Typical High $645.65 | Professional | None (both parts) | $331.13 | $446.68 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $77.62 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $257.04 | $316.23 | $537.03 |
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 $229.09 Median $239.88 Typical High $389.05 | Professional | 52 · Reduced service | $229.09 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $93.33 | $95.50 | $154.88 |
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 5.6 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
$245
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.