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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $131.83 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $165.96 | $165.96 |
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 $147.91 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $147.91 | $234.42 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $69.18 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $162.18 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.88 | $66.07 | $97.72 |
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 $181.97 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $181.97 | $213.80 | $269.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $97.72 | $120.23 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $100.00 | $114.82 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Select Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $436.52 | Professional | None (both parts) | $120.23 | $147.91 | $436.52 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $302.00 | Professional | None | $63.10 | $120.23 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $144.54 | $173.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $64.57 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $263.03 | Professional | TC · Technical part | $81.28 | $87.10 | $263.03 |
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 $66.07 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $66.07 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $26.30 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $104.71 | $190.55 | $190.55 |
Where Utah sits
The same service costs 5.4 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
$75.86
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.