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 $295.12 | Professional | None (both parts) | $169.82 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $61.66 | $74.13 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $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 $199.53 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $199.53 | $288.40 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $74.13 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $213.80 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $33.88 | $100.00 | $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 $245.47 Median $281.84 Typical High $354.81 | Professional | None (both parts) | $245.47 | $281.84 | $354.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $97.72 | $123.03 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $177.83 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Select Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $549.54 | Professional | None (both parts) | $162.18 | $199.53 | $549.54 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $81.28 Median $162.18 Typical High $380.19 | Professional | None | $81.28 | $162.18 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $177.83 | $213.80 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $114.82 | $134.90 | $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 $85.11 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $85.11 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.88 | $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 4.4 times more in Alaska than in Texas. 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
$120
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.