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 $380.19 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $380.19 | $478.63 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $302.00 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,318.26 | Facility | None | $575.44 | $645.65 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $602.56 Typical High $645.65 | Professional | None (both parts) | $295.12 | $602.56 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $77.62 | $93.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $512.86 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $81.28 | $199.53 | $288.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,548.82 | Facility | None | $588.84 | $776.25 | $1,548.82 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $645.65 | Professional | None (both parts) | $436.52 | $501.19 | $645.65 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $114.82 | $131.83 | $165.96 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $316.23 | $363.08 | $478.63 |
Select Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $1,071.52 | Professional | None (both parts) | $281.84 | $467.74 | $1,071.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $109.65 Median $316.23 Typical High $676.08 | Professional | None | $109.65 | $316.23 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $302.00 | $446.68 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $75.86 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $229.09 | $316.23 | $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 $213.80 Median $239.88 Typical High $346.74 | Professional | 52 · Reduced service | $213.80 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $138.04 | Professional | 53 · Discontinued | $85.11 | $95.50 | $138.04 |
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 5.6 times more in Wyoming 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
$219
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.