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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $134.90 | Professional | None (both parts) | $100.00 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $33.88 | Professional | 26 · Professional part | $25.12 | $30.20 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $75.86 Typical High $102.33 | Professional | TC · Technical part | $74.13 | $75.86 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $3,090.30 | Facility | None | $389.05 | $676.08 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $93.33 | $93.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $29.51 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $64.57 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,412.54 | Facility | None | $588.84 | $776.25 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $138.04 | $162.18 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $42.66 | $52.48 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $120.23 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Select Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $323.59 | Professional | None (both parts) | $89.13 | $109.65 | $323.59 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $31.62 Median $102.33 Typical High $218.78 | Professional | None | $31.62 | $102.33 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $93.33 | $114.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $30.20 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $85.11 | $131.83 |
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 $50.12 Median $52.48 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $52.48 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.38 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $21.38 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | FX · Film X-ray | $85.11 | $85.11 | $102.33 |
Where Utah sits
The same service costs 4.2 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
$74.13
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.