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 $416.87 Median $478.63 Typical High $776.25 | Professional | None (both parts) | $416.87 | $478.63 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $190.55 | Professional | 26 · Professional part | $117.49 | $128.82 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $295.12 | $302.00 | $537.03 |
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 $331.13 Median $741.31 Typical High $851.14 | Professional | None (both parts) | $331.13 | $741.31 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $169.82 | Professional | 26 · Professional part | $97.72 | $123.03 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $630.96 Typical High $707.95 | Professional | TC · Technical part | $229.09 | $630.96 | $707.95 |
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 $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 $489.78 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $489.78 | $562.34 | $707.95 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $169.82 Typical High $208.93 | Professional | 26 · Professional part | $147.91 | $169.82 | $208.93 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $389.05 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $389.05 | $501.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $309.03 | $537.03 | $851.14 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $138.04 Median $346.74 Typical High $758.58 | Professional | None | $138.04 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $812.83 | Professional | None (both parts) | $338.84 | $501.19 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $97.72 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $338.84 Typical High $724.44 | Professional | TC · Technical part | $239.88 | $338.84 | $724.44 |
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 $234.42 Median $239.88 Typical High $389.05 | Professional | 52 · Reduced service | $234.42 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $154.88 | Professional | 53 · Discontinued | $93.33 | $95.50 | $154.88 |
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 5.8 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
$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.