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 $489.78 Median $1,148.15 Typical High $2,884.03 | Facility | None | $489.78 | $1,148.15 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $354.81 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $112.20 | $134.90 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $363.08 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $602.56 | Facility | None | $467.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $758.58 | Professional | None (both parts) | $380.19 | $575.44 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $107.15 | $131.83 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $275.42 | $446.68 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $81.28 | $141.25 | $257.04 |
Regence BlueShield Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $812.83 | Facility | None | $295.12 | $380.19 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $588.84 Median $691.83 Typical High $831.76 | Professional | None (both parts) | $588.84 | $691.83 | $831.76 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $158.49 | $181.97 | $229.09 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $501.19 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Select Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $602.56 Typical High $1,202.26 | Professional | None (both parts) | $269.15 | $602.56 | $1,202.26 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $151.36 Median $416.87 Typical High $812.83 | Professional | None | $151.36 | $416.87 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $363.08 | $457.09 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $100.00 | $104.71 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $263.03 | $331.13 | $575.44 |
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 $173.78 Median $245.47 Typical High $275.42 | Professional | 52 · Reduced service | $173.78 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $100.00 Typical High $109.65 | Professional | 53 · Discontinued | $69.18 | $100.00 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $275.42 | $398.11 | $398.11 |
Where Utah sits
The same service costs 6.8 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
$170
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.