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 $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $27.54 | $30.90 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.24 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $20.42 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $724.44 | Facility | None | $95.50 | $158.49 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $52.48 | Professional | None (both parts) | $28.18 | $28.18 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $9.33 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $38.02 | Professional | TC · Technical part | $18.62 | $18.62 | $38.02 |
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 $144.54 Median $190.55 Typical High $269.15 | Facility | None | $144.54 | $190.55 | $269.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $46.77 | $53.70 | $64.57 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $11.22 | $13.18 | $16.60 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $46.77 | Professional | TC · Technical part | $34.67 | $38.02 | $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 $91.20 | Professional | None (both parts) | $30.90 | $38.02 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.23 Median $31.62 Typical High $64.57 | Professional | None | $10.23 | $31.62 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $57.54 | Professional | None (both parts) | $27.54 | $31.62 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $7.59 | $8.71 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $19.50 | $22.91 | $38.02 |
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 $15.49 Median $15.49 Typical High $24.55 | Professional | 52 · Reduced service | $15.49 | $15.49 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $9.77 | Professional | 53 · Discontinued | $6.31 | $6.31 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | FX · Film X-ray | $25.12 | $25.12 | $28.84 |
Where Utah sits
The same service costs 6.0 times more in Vermont 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· 44th 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.