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 $478.63 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $478.63 | $478.63 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $194.98 | Professional | 26 · Professional part | $114.82 | $128.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $660.69 | Professional | TC · Technical part | $302.00 | $302.00 | $660.69 |
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 $380.19 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $380.19 | $707.95 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $117.49 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $588.84 Typical High $676.08 | Professional | TC · Technical part | $281.84 | $588.84 | $676.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $81.28 | $229.09 | $346.74 |
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 $549.54 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $549.54 | $645.65 | $812.83 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $165.96 Typical High $208.93 | Professional | 26 · Professional part | $144.54 | $165.96 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $407.38 | $467.74 | $616.60 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $354.81 | $588.84 | $977.24 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $138.04 Median $398.11 Typical High $831.76 | Professional | None | $138.04 | $398.11 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $912.01 | Professional | None (both parts) | $389.05 | $501.19 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $93.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $354.81 | $691.83 |
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 $239.88 Median $239.88 Typical High $446.68 | Professional | 52 · Reduced service | $239.88 | $239.88 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | 53 · Discontinued | $95.50 | $95.50 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | FX · Film X-ray | $380.19 | $380.19 | $549.54 |
Where Utah sits
The same service costs 6.0 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
$257
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.