How much rates vary
Facilitymedian $479 · 10th to 90th $200 to $813Professionalmedian $115 · 10th to 90th $34 to $263
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $199.53 | $199.53 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $34.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $186.21 | $371.54 |
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 $91.20 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $91.20 | $91.20 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $33.88 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $56.23 | $56.23 | $83.18 |
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 Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Facility | None | $398.11 | $524.81 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $114.82 | $123.03 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $60.26 | Professional | 26 · Professional part | $41.69 | $47.86 | $60.26 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $77.62 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Select Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $5,011.87 | Professional | None (both parts) | $33.88 | $47.86 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $28.18 Median $57.54 Typical High $316.23 | Professional | None | $28.18 | $57.54 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $263.03 Typical High $467.74 | Professional | None (both parts) | $89.13 | $263.03 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $31.62 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $234.42 Typical High $389.05 | Professional | TC · Technical part | $58.88 | $234.42 | $389.05 |
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 $100.00 Median $100.00 Typical High $194.98 | Professional | 52 · Reduced service | $100.00 | $100.00 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | 53 · Discontinued | $39.81 | $39.81 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $158.49 | $208.93 |
Where Utah sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 43rd of 51
$120
NE $389HI $66.07
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.