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 $33.88 Median $33.88 Typical High $38.90 | Facility | None | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $31.62 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $10.72 | Professional | 26 · Professional part | $6.03 | $7.59 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.30 Typical High $41.69 | Professional | TC · Technical part | $25.70 | $26.30 | $41.69 |
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 $29.51 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $29.51 | $29.51 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $12.59 | Professional | 26 · Professional part | $7.41 | $7.41 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $21.88 | $48.98 |
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 $53.70 Median $63.10 Typical High $72.44 | Professional | None (both parts) | $53.70 | $63.10 | $72.44 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $9.33 | $10.96 | $13.80 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $44.67 | $48.98 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $15.49 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $15.49 | $44.67 | $77.62 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $8.51 Median $36.31 Typical High $70.79 | Professional | None | $8.51 | $36.31 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $27.54 | $36.31 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.24 Typical High $12.02 | Professional | 26 · Professional part | $6.03 | $7.24 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $28.84 | $47.86 |
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 $16.98 Median $16.98 Typical High $28.84 | Professional | 52 · Reduced service | $16.98 | $16.98 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $11.48 | Professional | 53 · Discontinued | $6.76 | $6.76 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | FX · Film X-ray | $27.54 | $27.54 | $33.11 |
Where Utah sits
The same service costs 11.5 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· 50th of 51
$31.62
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.