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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $269.15 | Professional | None (both parts) | $158.49 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $53.70 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $204.17 | Professional | TC · Technical part | $104.71 | $190.55 | $204.17 |
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 $186.21 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $186.21 | $257.04 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $69.18 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $123.03 | $186.21 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $33.88 | $100.00 | $158.49 |
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 $263.03 Typical High $338.84 | Professional | None (both parts) | $229.09 | $263.03 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $89.13 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $177.83 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $190.55 Typical High $512.86 | Professional | None (both parts) | $154.88 | $190.55 | $512.86 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $154.88 Typical High $363.08 | Professional | None | $64.57 | $154.88 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $165.96 | $208.93 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $58.88 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $109.65 | $131.83 | $281.84 |
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 $79.43 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $79.43 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $31.62 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $128.82 | $208.93 | $208.93 |
Where Utah sits
The same service costs 4.0 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.