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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $151.36 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $74.13 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $1,047.13 Typical High $6,165.95 | Facility | None | $117.49 | $1,047.13 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $169.82 | $213.80 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $72.44 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $95.50 | $144.54 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $33.88 | $66.07 | $128.82 |
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 $213.80 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $213.80 | $239.88 | $309.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $93.33 | $104.71 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $123.03 | $128.82 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $125.89 | $208.93 | $371.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $134.90 Typical High $281.84 | Professional | None | $74.13 | $134.90 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $138.04 | $199.53 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $69.18 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $104.71 | $194.98 |
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 $77.62 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $46.77 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $134.90 | $186.21 | $186.21 |
Where Utah sits
The same service costs 4.6 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
$97.72
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.