How much rates vary
Facilitymedian $204 · 10th to 90th $204 to $204Professionalmedian $182 · 10th to 90th $34 to $302
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $165.96 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $72.44 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $181.97 | $181.97 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $67.61 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $165.96 | Professional | TC · Technical part | $114.82 | $117.49 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $112.20 | Professional | None (both parts) | $33.11 | $33.88 | $112.20 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $229.09 | $239.88 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $114.82 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $154.88 Typical High $213.80 | Professional | TC · Technical part | $147.91 | $154.88 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $354.81 | $5,011.87 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $251.19 | Professional | None | $54.95 | $109.65 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $158.49 | $177.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $56.23 | $61.66 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $93.33 | $114.82 | $190.55 |
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 $83.18 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $40.74 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $131.83 | $162.18 | $162.18 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 24th of 51
$195
AK $479FL $123
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.