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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $977.24 | Professional | None (both parts) | $457.09 | $457.09 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $50.12 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $954.99 | Professional | TC · Technical part | $436.52 | $436.52 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $4,897.79 | Facility | None | $676.08 | $1,096.48 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $257.04 | $257.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | 26 · Professional part | $46.77 | $46.77 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $213.80 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $162.18 | Professional | None (both parts) | $33.11 | $33.88 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,187.76 | Facility | None | $977.24 | $1,318.26 | $2,187.76 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $354.81 | $380.19 | $512.86 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $60.26 | $69.18 | $87.10 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $295.12 | $309.03 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Select Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $5,011.87 | Professional | None (both parts) | $54.95 | $79.43 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $457.09 | Professional | None | $41.69 | $87.10 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $676.08 Typical High $1,148.15 | Professional | None (both parts) | $257.04 | $676.08 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $44.67 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $213.80 | $630.96 | $1,047.13 |
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 $229.09 Median $229.09 Typical High $489.78 | Professional | 52 · Reduced service | $229.09 | $229.09 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | 53 · Discontinued | $91.20 | $91.20 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | FX · Film X-ray | $363.08 | $363.08 | $489.78 |
Where Utah sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 39th of 51
$363
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.