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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $87.10 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $25.70 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $72.44 Typical High $102.33 | Professional | TC · Technical part | $61.66 | $72.44 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $1,513.56 | Facility | None | $194.98 | $323.59 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $87.10 | $87.10 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $25.12 | $25.12 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $61.66 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $33.11 | $64.57 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $691.83 | Facility | None | $295.12 | $380.19 | $691.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $134.90 | $158.49 | $190.55 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $39.81 | $45.71 | $53.70 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $134.90 | Professional | TC · Technical part | $95.50 | $109.65 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $87.10 | $107.15 | $173.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $30.90 Median $87.10 Typical High $190.55 | Professional | None | $30.90 | $87.10 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $83.18 | $97.72 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $30.90 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $67.61 | $114.82 |
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 $48.98 Median $48.98 Typical High $72.44 | Professional | 52 · Reduced service | $48.98 | $48.98 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $28.84 | Professional | 53 · Discontinued | $19.50 | $19.50 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $89.13 | Professional | FX · Film X-ray | $77.62 | $77.62 | $89.13 |
Where Utah sits
The same service costs 3.8 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
$74.13
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.