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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $257.04 | $257.04 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $26.92 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $851.14 | Professional | TC · Technical part | $245.47 | $245.47 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $4,265.80 | Facility | None | $602.56 | $954.99 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $61.66 | $79.43 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $26.30 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $52.48 Typical High $60.26 | Professional | TC · Technical part | $36.31 | $52.48 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $60.26 Typical High $120.23 | Professional | None (both parts) | $20.89 | $60.26 | $120.23 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $77.62 | $81.28 | $112.20 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $35.48 | $44.67 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $48.98 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Select Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $5,011.87 | Professional | None (both parts) | $25.70 | $36.31 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $21.38 Median $43.65 Typical High $102.33 | Professional | None | $21.38 | $43.65 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $75.86 | $501.19 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $23.99 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $478.63 Typical High $794.33 | Professional | TC · Technical part | $52.48 | $478.63 | $794.33 |
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 $125.89 Median $125.89 Typical High $426.58 | Professional | 52 · Reduced service | $125.89 | $125.89 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $169.82 | Professional | 53 · Discontinued | $51.29 | $51.29 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $426.58 | Professional | FX · Film X-ray | $204.17 | $204.17 | $426.58 |
Where Utah sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 43rd of 51
$91.20
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.