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 $416.87 Median $812.83 Typical High $2,884.03 | Facility | None | $416.87 | $812.83 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $416.87 Typical High $426.58 | Professional | None (both parts) | $239.88 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $67.61 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $602.56 | Facility | None | $467.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $190.55 | $371.54 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $66.07 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $134.90 | $309.03 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $33.88 | $134.90 | $190.55 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $812.83 | Facility | None | $295.12 | $380.19 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $281.84 | $323.59 | $407.38 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $93.33 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $229.09 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $181.97 | $288.40 | $660.69 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $74.13 Median $199.53 Typical High $416.87 | Professional | None | $74.13 | $199.53 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $199.53 | $281.84 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $52.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $181.97 | $346.74 |
4 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 $123.03 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $123.03 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $48.98 | $83.18 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $354.81 Typical High $354.81 | Professional | CT · Older CT scanner | $208.93 | $354.81 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $331.13 Typical High $331.13 | Professional | FX · Film X-ray | $194.98 | $331.13 | $331.13 |
Where Utah sits
The same service costs 5.1 times more in Alaska 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
$151
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.