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Utah rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Facilitymedian $30 · 10th–90th $30$300%50%$30Professionalmedian $107 · 10th–90th $27$2090%5%10%10th90th$107$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $30.20 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $109.65 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $144.54 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $36.31 / $57.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $109.65 / $190.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $181.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $213.80 / $245.47
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $43.65 / $61.66
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $162.18 / $199.53
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $257.04
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $42.66 / $64.57
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $154.88 / $177.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $144.54 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $28.18 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $93.33 / $154.88