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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $91.20 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $14.79 | $18.20 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $77.62 | $79.43 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,949.84 | Facility | None | $263.03 | $426.58 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $87.10 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $18.62 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $69.18 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $69.18 | $83.18 | $104.71 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $933.25 | Facility | None | $398.11 | $524.81 | $933.25 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $144.54 | $169.82 | $194.98 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $31.62 | Professional | 26 · Professional part | $21.88 | $25.12 | $31.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $134.90 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $97.72 | $120.23 | $169.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $20.89 Median $104.71 Typical High $199.53 | Professional | None | $20.89 | $104.71 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $85.11 | $100.00 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $15.49 | $16.60 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $83.18 | $138.04 |
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 $47.86 Median $47.86 Typical High $75.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $19.50 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $77.62 | $95.50 |
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· 48th of 51
$91.20
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.