How much rates vary
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $87.10 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $147.91 | $147.91 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $42.66 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $107.15 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $33.11 | $33.88 | $60.26 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $190.55 | $199.53 | $223.87 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $51.29 | $54.95 | $61.66 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $144.54 Typical High $162.18 | Professional | TC · Technical part | $138.04 | $144.54 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Select Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $63.10 | Professional | None (both parts) | $42.66 | $53.70 | $63.10 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $50.12 | $58.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $4.07 Typical High $4.68 | Professional | TC · Technical part | $3.47 | $4.07 | $4.68 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $36.31 Median $70.79 Typical High $208.93 | Professional | None | $36.31 | $70.79 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $138.04 | $154.88 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $35.48 | $38.90 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $114.82 | $141.25 |
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 $61.66 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $109.65 | $125.89 | $125.89 |
Where Utah sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 28th of 51
$155
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.