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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $109.65 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $35.48 | $45.71 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $104.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $1,047.13 Typical High $6,165.95 | Facility | None | $93.33 | $1,047.13 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $120.23 | $138.04 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $45.71 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $93.33 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,691.53 | Facility | None | $1,288.25 | $1,698.24 | $2,691.53 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $213.80 | Professional | None (both parts) | $151.36 | $177.83 | $213.80 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $64.57 | $81.28 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $104.71 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Select Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $102.33 | $169.82 | $239.88 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $53.70 Median $100.00 Typical High $208.93 | Professional | None | $53.70 | $100.00 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $97.72 | $131.83 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $39.81 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $83.18 | $128.82 |
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 $54.95 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $54.95 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $22.39 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $89.13 | $120.23 | $120.23 |
Where Utah sits
The same service costs 4.3 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
$75.86
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.