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X-Ray of the Ankle With Contrast in the Joint

Utah rates for HCPCS 73615

X-ray imaging of the ankle taken after a contrast agent is injected into the joint space, which outlines structures that plain X-rays cannot show. It is used to examine the cartilage, the joint lining, and the ligaments, and to detect leaks from the joint capsule.

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $31$450%50%90th$31Professionalmedian $129 · 10th–90th $50$2690%10%20%10th90th$129$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$263.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$194.98
Regence BlueShield
Setting
Facility
Modifier
26 · Professional part
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$251.19
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$213.80
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$134.90
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$213.80