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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $81.28 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $20.42 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $3,090.30 | Facility | None | $389.05 | $676.08 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $102.33 | $125.89 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $40.74 | Professional | 26 · Professional part | $19.95 | $19.95 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $69.18 | $107.15 | $134.90 |
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 $588.84 Median $776.25 Typical High $1,412.54 | Facility | None | $588.84 | $776.25 | $1,412.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $109.65 | $128.82 | $158.49 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $38.90 | $47.86 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $75.86 | $87.10 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $323.59 | Professional | None (both parts) | $75.86 | $93.33 | $323.59 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $28.84 Median $79.43 Typical High $181.97 | Professional | None | $28.84 | $79.43 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $75.86 | $117.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $17.38 | $25.70 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $48.98 | $81.28 | $208.93 |
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 $38.90 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $38.90 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $15.49 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $61.66 | $154.88 | $154.88 |
Where Utah sits
The same service costs 5.4 times more in New York 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· 49th 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.