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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $147.91 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $89.13 | Professional | 26 · Professional part | $48.98 | $63.10 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $9,549.93 Typical High $42,657.95 | Facility | None | $5,888.44 | $9,549.93 | $42,657.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $165.96 | $245.47 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $63.10 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $181.97 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $8,709.64 Median $11,748.98 Typical High $16,218.10 | Facility | None | $8,709.64 | $11,748.98 | $16,218.10 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $204.17 | $234.42 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $85.11 | $104.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $131.83 | $151.36 | $190.55 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $131.83 | $165.96 | $467.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $316.23 | Professional | None | $69.18 | $134.90 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $154.88 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $109.65 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $109.65 | $275.42 |
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 $70.79 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $70.79 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $28.18 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $114.82 | $199.53 | $199.53 |
Where Utah sits
The same service costs 4.2 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
$105
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.