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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $42.66 | Professional | None (both parts) | $24.55 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $8.71 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $17.78 | $20.89 | $31.62 |
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 $26.30 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $26.30 | $26.30 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | 26 · Professional part | $8.51 | $8.51 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | TC · Technical part | $17.78 | $17.78 | $33.88 |
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 $39.81 Median $46.77 Typical High $56.23 | Professional | None (both parts) | $39.81 | $46.77 | $56.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $10.47 | $12.02 | $15.14 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $29.51 | $34.67 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Select Health Setting Professional Modifier None (both parts) Typical Low $26.30 Median $43.65 Typical High $91.20 | Professional | None (both parts) | $26.30 | $43.65 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $9.77 Median $27.54 Typical High $56.23 | Professional | None | $9.77 | $27.54 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.18 Typical High $51.29 | Professional | None (both parts) | $25.70 | $28.18 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $7.94 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $20.42 | $33.88 |
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 $14.13 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $14.13 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $5.75 | $5.89 | $8.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.99 Typical High $25.12 | Professional | FX · Film X-ray | $22.91 | $23.99 | $25.12 |
Where Utah sits
The same service costs 3.7 times more in Alaska 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· 35th of 51
$29.51
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.