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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $4,897.79 | Professional | None (both parts) | $446.68 | $446.68 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $45.71 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $4,897.79 | Professional | TC · Technical part | $436.52 | $436.52 | $4,897.79 |
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 $281.84 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $281.84 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $44.67 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | TC · Technical part | $239.88 | $239.88 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $177.83 | Professional | None (both parts) | $33.11 | $33.88 | $177.83 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,570.88 Median $6,456.54 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,456.54 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $380.19 Typical High $524.81 | Professional | None (both parts) | $363.08 | $380.19 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $63.10 | $77.62 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $309.03 | $323.59 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Select Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $72.44 Typical High $5,011.87 | Professional | None (both parts) | $51.29 | $72.44 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $478.63 | Professional | None | $38.02 | $77.62 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $1,659.59 Typical High $5,495.41 | Professional | None (both parts) | $281.84 | $1,659.59 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $41.69 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $1,621.81 Typical High $3,715.35 | Professional | TC · Technical part | $245.47 | $1,621.81 | $3,715.35 |
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 $223.87 Median $223.87 Typical High $2,454.71 | Professional | 52 · Reduced service | $223.87 | $223.87 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $977.24 | Professional | 53 · Discontinued | $89.13 | $89.13 | $977.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $363.08 Typical High $2,511.89 | Professional | FX · Film X-ray | $363.08 | $363.08 | $2,511.89 |
Where Utah sits
The same service costs 15.1 times more in Colorado 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· 40th of 51
$380
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.