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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $109.65 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $38.90 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $97.72 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $2,818.38 Typical High $12,589.25 | Facility | None | $1,698.24 | $2,818.38 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $120.23 | $120.23 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $38.90 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $81.28 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.11 | $66.07 | $97.72 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,454.71 | $3,162.28 | $4,677.35 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $151.36 | $177.83 | $218.78 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $67.61 | $77.62 | $95.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $97.72 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Select Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $338.84 | Professional | None (both parts) | $100.00 | $123.03 | $338.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $208.93 | Professional | None | $48.98 | $97.72 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $97.72 | $117.49 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $34.67 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $75.86 | $123.03 |
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 $54.95 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $26.92 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $89.13 | $109.65 | $109.65 |
Where Utah sits
The same service costs 4.2 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
$75.86
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.