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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $223.87 Typical High $229.09 | Professional | None (both parts) | $117.49 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $63.10 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $162.18 | $162.18 |
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 $131.83 Median $223.87 Typical High $251.19 | Professional | None (both parts) | $131.83 | $223.87 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $61.66 | $63.10 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $158.49 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $158.49 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.88 | $66.07 | $97.72 |
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 $162.18 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $162.18 | $186.21 | $234.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $85.11 | $107.15 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $125.89 | Professional | TC · Technical part | $87.10 | $102.33 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Select Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $398.11 | Professional | None (both parts) | $104.71 | $131.83 | $398.11 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $309.03 | Professional | None | $56.23 | $107.15 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $128.82 | $169.82 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $56.23 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $257.04 | Professional | TC · Technical part | $70.79 | $79.43 | $257.04 |
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 $57.54 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $57.54 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $22.91 | $44.67 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $93.33 | $177.83 | $177.83 |
Where Utah sits
The same service costs 4.8 times more in Kansas 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.