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 $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 $204.17 Median $204.17 Typical High $295.12 | Professional | None (both parts) | $204.17 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $109.65 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $93.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $117.49 Typical High $758.58 | Facility | None | $109.65 | $117.49 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $204.17 | $204.17 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $107.15 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $97.72 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $81.28 | $141.25 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $776.25 | Facility | None | $295.12 | $380.19 | $776.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $371.54 | $389.05 | $446.68 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $177.83 | Professional | 26 · Professional part | $141.25 | $158.49 | $177.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $239.88 Typical High $269.15 | Professional | TC · Technical part | $223.87 | $239.88 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Select Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $269.15 | $389.05 | $457.09 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $107.15 | $144.54 | $169.82 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $281.84 | Professional | TC · Technical part | $162.18 | $239.88 | $281.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $97.72 Median $208.93 Typical High $426.58 | Professional | None | $97.72 | $208.93 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $204.17 | $251.19 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $107.15 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $104.71 | $147.91 | $186.21 |
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 $100.00 Median $100.00 Typical High $134.90 | Professional | 52 · Reduced service | $100.00 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $40.74 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | FX · Film X-ray | $162.18 | $162.18 | $190.55 |
Where Utah sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 50th of 51
$158
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.