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 $138.04 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $138.04 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $16.22 | $20.42 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $186.21 | $186.21 |
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 $69.18 Median $69.18 Typical High $213.80 | Professional | None (both parts) | $69.18 | $69.18 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $19.95 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $173.78 | Professional | TC · Technical part | $50.12 | $50.12 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
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 $190.55 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $190.55 | $199.53 | $251.19 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $33.88 | $38.02 | $45.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $162.18 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $123.03 | $151.36 | $218.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $25.70 Median $123.03 Typical High $239.88 | Professional | None | $25.70 | $123.03 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $69.18 | $131.83 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $25.70 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $52.48 | $107.15 | $213.80 |
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 $69.18 Median $97.72 Typical High $138.04 | Professional | 52 · Reduced service | $69.18 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $38.90 Typical High $56.23 | Professional | 53 · Discontinued | $27.54 | $38.90 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $112.20 | $154.88 | $154.88 |
Where Utah sits
The same service costs 4.1 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
$97.72
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.