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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $331.13 | Professional | None (both parts) | $169.82 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $64.57 | $74.13 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $74.13 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $5,495.41 Typical High $25,118.86 | Facility | None | $3,467.37 | $5,495.41 | $25,118.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $346.74 | Professional | None (both parts) | $190.55 | $281.84 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $72.44 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $208.93 Typical High $234.42 | Professional | TC · Technical part | $102.33 | $208.93 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $52.48 | $85.11 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,248.07 Median $6,760.83 Typical High $10,715.19 | Facility | None | $5,248.07 | $6,760.83 | $10,715.19 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $229.09 | $269.15 | $331.13 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $147.91 Typical High $181.97 | Professional | 26 · Professional part | $128.82 | $147.91 | $181.97 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $117.49 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Select Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $575.44 | Professional | None (both parts) | $151.36 | $186.21 | $575.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $363.08 | Professional | None | $81.28 | $154.88 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $177.83 | $218.78 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $302.00 | Professional | TC · Technical part | $81.28 | $109.65 | $302.00 |
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 $83.18 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $83.18 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.11 | $58.88 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $134.90 | $234.42 | $234.42 |
Where Utah sits
The same service costs 5.1 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
$100
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.