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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $72.44 | Professional | None (both parts) | $43.65 | $52.48 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $17.38 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $35.48 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $81.28 | Professional | None (both parts) | $47.86 | $47.86 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $25.70 | Professional | 26 · Professional part | $17.38 | $17.38 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $30.20 | $30.20 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $407.38 | Facility | None | $173.78 | $229.09 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $70.79 | $83.18 | $97.72 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $24.55 | $30.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $69.18 | Professional | TC · Technical part | $48.98 | $56.23 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $93.33 | Professional | None (both parts) | $45.71 | $56.23 | $93.33 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $20.42 Median $45.71 Typical High $93.33 | Professional | None | $20.42 | $45.71 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $48.98 Typical High $89.13 | Professional | None (both parts) | $45.71 | $48.98 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $16.22 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $33.11 | $56.23 |
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 $25.12 Median $26.30 Typical High $37.15 | Professional | 52 · Reduced service | $25.12 | $26.30 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $15.14 | Professional | 53 · Discontinued | $10.00 | $10.47 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $41.69 Typical High $44.67 | Professional | FX · Film X-ray | $39.81 | $41.69 | $44.67 |
Where Utah sits
The same service costs 4.5 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
$33.11
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.