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 $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $26.92 | $30.20 | $44.67 |
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 $19.50 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $19.50 | $20.89 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $26.30 | $26.30 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $8.51 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $18.20 | $36.31 |
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 $173.78 Median $229.09 Typical High $407.38 | Facility | None | $173.78 | $229.09 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $44.67 | $52.48 | $61.66 |
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 $33.11 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $33.11 | $37.15 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $79.43 | Professional | None (both parts) | $28.84 | $35.48 | $79.43 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $10.23 Median $30.20 Typical High $61.66 | Professional | None | $10.23 | $30.20 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $26.30 | $30.90 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $8.71 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $36.31 | Professional | TC · Technical part | $17.78 | $21.88 | $36.31 |
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 $15.14 Median $15.14 Typical High $23.44 | Professional | 52 · Reduced service | $15.14 | $15.14 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $9.33 | Professional | 53 · Discontinued | $6.03 | $6.03 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | FX · Film X-ray | $23.99 | $23.99 | $27.54 |
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· 42nd of 51
$30.20
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.