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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $42.66 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $17.38 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $48.98 | $51.29 |
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 $46.77 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $46.77 | $77.62 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $17.38 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $58.88 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Regence BlueShield Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,348.96 | Facility | None | $588.84 | $776.25 | $1,348.96 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $58.88 | $67.61 | $81.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $21.38 | $24.55 | $30.90 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $42.66 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Select Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $218.78 | Professional | None (both parts) | $38.90 | $47.86 | $218.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $18.20 Median $38.90 Typical High $100.00 | Professional | None | $18.20 | $38.90 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $38.02 | $50.12 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $16.22 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $16.22 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $26.30 | $58.88 |
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 $20.42 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $8.13 | $13.18 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $32.36 | $52.48 | $52.48 |
Where Utah sits
The same service costs 3.8 times more in Alaska than in New York. 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
$33.11
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.