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 $4,897.79 | Professional | None (both parts) | $457.09 | $457.09 | $4,897.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $66.07 | $89.13 |
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 $288.40 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $288.40 | $309.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $245.47 Typical High $331.13 | Professional | TC · Technical part | $229.09 | $245.47 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $190.55 | Professional | None (both parts) | $33.11 | $33.88 | $190.55 |
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 $363.08 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $363.08 | $389.05 | $524.81 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $85.11 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $309.03 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Select Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $3,388.44 Typical High $5,011.87 | Professional | None (both parts) | $758.58 | $3,388.44 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $50.12 Median $107.15 Typical High $457.09 | Professional | None | $50.12 | $107.15 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $2,818.38 Typical High $5,623.41 | Professional | None (both parts) | $302.00 | $2,818.38 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $57.54 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $2,754.23 Typical High $4,570.88 | Professional | TC · Technical part | $245.47 | $2,754.23 | $4,570.88 |
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 $2,454.71 | Professional | 52 · Reduced service | $229.09 | $229.09 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $977.24 | Professional | 53 · Discontinued | $91.20 | $91.20 | $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· 41st of 51
$389
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.