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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $114.82 | $141.25 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $46.77 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $93.33 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $2,630.27 Typical High $8,317.64 | Facility | None | $97.72 | $2,630.27 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $125.89 | $134.90 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $44.67 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $91.20 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $33.11 | $66.07 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,162.28 Median $4,168.69 Typical High $6,025.60 | Facility | None | $3,162.28 | $4,168.69 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $158.49 | $181.97 | $229.09 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $63.10 | $89.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $109.65 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Select Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $114.82 | $177.83 | $199.53 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $47.86 Median $104.71 Typical High $245.47 | Professional | None | $47.86 | $104.71 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $100.00 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $43.65 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $67.61 | $158.49 |
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 $56.23 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $56.23 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $22.91 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $112.20 | $112.20 |
Where Utah sits
The same service costs 4.0 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· 48th of 51
$95.50
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.