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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $125.89 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $32.36 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $102.33 | $109.65 | $144.54 |
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 $120.23 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $120.23 | $120.23 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $30.90 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $89.13 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
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 $151.36 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $151.36 | $177.83 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $48.98 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $128.82 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Select Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $107.15 | $134.90 | $251.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $39.81 Median $120.23 Typical High $229.09 | Professional | None | $39.81 | $120.23 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $114.82 | $138.04 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $29.51 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $109.65 | $177.83 |
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 $64.57 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $26.30 | $28.84 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $114.82 | $114.82 | $131.83 |
Where Utah sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 49th of 51
$105
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.