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 $1,412.54 Typical High $3,890.45 | Facility | None | $478.63 | $1,412.54 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $398.11 | $478.63 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $128.82 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $302.00 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,412.54 | Facility | None | $575.44 | $645.65 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $537.03 Typical High $602.56 | Professional | None (both parts) | $302.00 | $537.03 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $89.13 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $446.68 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $446.68 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $81.28 | $199.53 | $316.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,398.83 | Facility | None | $1,288.25 | $1,698.24 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $524.81 Typical High $660.69 | Professional | None (both parts) | $446.68 | $524.81 | $660.69 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $125.89 | $154.88 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $398.11 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $794.33 | Professional | None (both parts) | $295.12 | $478.63 | $794.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $102.33 Median $331.13 Typical High $676.08 | Professional | None | $102.33 | $331.13 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $316.23 | $426.58 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $67.61 | $70.79 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $295.12 | $537.03 |
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 $218.78 Median $239.88 Typical High $363.08 | Professional | 52 · Reduced service | $218.78 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $95.50 Typical High $144.54 | Professional | 53 · Discontinued | $87.10 | $95.50 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $512.86 | Professional | FX · Film X-ray | $380.19 | $380.19 | $512.86 |
Where Utah sits
The same service costs 5.4 times more in Wyoming 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· 50th of 51
$234
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.