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 $1,071.52 Typical High $3,890.45 | Facility | None | $478.63 | $1,071.52 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $645.65 | Professional | None (both parts) | $275.42 | $478.63 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $128.82 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $302.00 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $831.76 | Facility | None | $575.44 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $194.98 | $489.78 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $74.13 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $416.87 | $416.87 |
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 $398.11 Median $524.81 Typical High $933.25 | Facility | None | $398.11 | $524.81 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $295.12 | $346.74 | $426.58 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $91.20 | $104.71 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $204.17 | $234.42 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $190.55 | $323.59 | $501.19 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $457.09 | Professional | None | $85.11 | $204.17 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $199.53 | $323.59 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $58.88 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $169.82 | $407.38 |
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 $186.21 Median $239.88 Typical High $316.23 | Professional | 52 · Reduced service | $186.21 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $95.50 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $281.84 | $380.19 | $512.86 |
Where Utah sits
The same service costs 13.5 times more in Vermont 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
$155
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.