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 $32.36 Median $32.36 Typical High $37.15 | Facility | None | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $28.18 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $9.33 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $20.89 | $22.91 | $33.88 |
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 $28.84 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $28.84 | $28.84 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $13.49 | Professional | 26 · Professional part | $9.33 | $9.33 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $19.50 | $19.50 | $38.90 |
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 $47.86 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $47.86 | $54.95 | $64.57 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $11.75 | $13.18 | $16.60 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $46.77 | Professional | TC · Technical part | $35.48 | $39.81 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Select Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $57.54 | Professional | None (both parts) | $30.90 | $38.02 | $57.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $11.48 Median $33.11 Typical High $61.66 | Professional | None | $11.48 | $33.11 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $28.84 | $32.36 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $9.12 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $23.44 | $38.90 |
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 $16.22 Median $16.22 Typical High $25.12 | Professional | 52 · Reduced service | $16.22 | $16.22 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $10.00 | Professional | 53 · Discontinued | $6.46 | $6.46 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | FX · Film X-ray | $25.70 | $25.70 | $29.51 |
Where Utah sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 46th of 51
$30.90
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.