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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $21.38 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $8.32 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $17.38 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $17.38 | $26.92 |
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 $23.44 Median $23.44 Typical High $39.81 | Professional | None (both parts) | $23.44 | $23.44 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $13.80 | Professional | 26 · Professional part | $8.13 | $8.13 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | TC · Technical part | $15.14 | $15.14 | $25.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $25.70 Typical High $60.26 | Professional | None (both parts) | $11.48 | $25.70 | $60.26 |
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 $30.90 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $30.90 | $35.48 | $44.67 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.47 | $12.02 | $15.14 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $29.51 | Professional | TC · Technical part | $20.42 | $23.44 | $29.51 |
Select Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Select Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $24.55 Typical High $83.18 | Professional | None (both parts) | $19.95 | $24.55 | $83.18 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $46.77 | Professional | None | $9.33 | $20.42 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.99 Typical High $38.02 | Professional | None (both parts) | $21.88 | $23.99 | $38.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $7.94 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.14 Typical High $25.70 | Professional | TC · Technical part | $13.80 | $15.14 | $25.70 |
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 $10.96 Median $12.88 Typical High $16.22 | Professional | 52 · Reduced service | $10.96 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $5.13 Typical High $6.46 | Professional | 53 · Discontinued | $4.37 | $5.13 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | FX · Film X-ray | $17.38 | $20.42 | $20.42 |
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· 22nd of 51
$28.84
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.