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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $128.82 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $67.61 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $75.86 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,096.48 Typical High $4,897.79 | Facility | None | $676.08 | $1,096.48 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $147.91 | $275.42 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $64.57 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $208.93 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $33.88 | $66.07 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $977.24 Median $1,318.26 Typical High $2,511.89 | Facility | None | $977.24 | $1,318.26 | $2,511.89 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $181.97 | $213.80 | $263.03 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $89.13 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $104.71 | $120.23 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Select Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $416.87 | Professional | None (both parts) | $117.49 | $144.54 | $416.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $288.40 | Professional | None | $64.57 | $117.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $144.54 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $58.88 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $100.00 | $331.13 |
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 $64.57 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $64.57 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $25.70 | $61.66 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $245.47 Typical High $245.47 | Professional | FX · Film X-ray | $104.71 | $245.47 | $245.47 |
Where Utah sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 50th of 51
$95.50
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.