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 $478.63 Median $1,412.54 Typical High $3,890.45 | Facility | None | $478.63 | $1,412.54 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $758.58 | Professional | None (both parts) | $416.87 | $478.63 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | TC · Technical part | $302.00 | $302.00 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $549.54 Typical High $630.96 | Professional | None (both parts) | $323.59 | $549.54 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $89.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $467.74 Typical High $524.81 | Professional | TC · Technical part | $251.19 | $467.74 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $81.28 | $229.09 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,548.82 | Facility | None | $588.84 | $776.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $478.63 | $549.54 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $125.89 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $426.58 Typical High $549.54 | Professional | TC · Technical part | $363.08 | $426.58 | $549.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $309.03 | $501.19 | $954.99 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $346.74 Typical High $707.95 | Professional | None | $102.33 | $346.74 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $660.69 | Professional | None (both parts) | $338.84 | $446.68 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $70.79 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $549.54 | Professional | TC · Technical part | $263.03 | $316.23 | $549.54 |
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 $229.09 Median $239.88 Typical High $380.19 | Professional | 52 · Reduced service | $229.09 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $95.50 Typical High $151.36 | Professional | 53 · Discontinued | $91.20 | $95.50 | $151.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $380.19 | $512.86 |
Where Utah sits
The same service costs 5.4 times more in Wyoming 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
$245
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.