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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $120.23 | Professional | None (both parts) | $83.18 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $26.30 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $79.43 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $89.13 | $89.13 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $25.70 | $25.70 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $63.10 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $46.77 | $56.23 | $69.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $407.38 | Facility | None | $173.78 | $229.09 | $407.38 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $114.82 | $134.90 | $165.96 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $37.15 | $45.71 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $97.72 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $281.84 | Professional | None (both parts) | $79.43 | $97.72 | $281.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $29.51 Median $81.28 Typical High $169.82 | Professional | None | $29.51 | $81.28 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $75.86 | $97.72 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $39.81 | Professional | 26 · Professional part | $21.88 | $23.99 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $69.18 | $112.20 |
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 $41.69 Median $52.48 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $24.55 | Professional | 53 · Discontinued | $16.60 | $21.38 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $66.07 | $85.11 | $85.11 |
Where Utah sits
The same service costs 3.8 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
$64.57
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.