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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $138.04 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $97.72 | Professional | 26 · Professional part | $66.07 | $79.43 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $165.96 | $165.96 |
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 $158.49 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $158.49 | $245.47 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $75.86 | $77.62 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $173.78 | Professional | TC · Technical part | $85.11 | $165.96 | $173.78 |
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 $4,570.88 Median $6,456.54 Typical High $9,332.54 | Facility | None | $4,570.88 | $6,456.54 | $9,332.54 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $281.84 | Professional | None (both parts) | $194.98 | $229.09 | $281.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $93.33 | $107.15 | $131.83 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $120.23 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Select Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $125.89 | $154.88 | $446.68 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $64.57 Median $128.82 Typical High $309.03 | Professional | None | $64.57 | $128.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $151.36 | $190.55 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $66.07 | $70.79 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $89.13 | $263.03 |
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 $69.18 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $69.18 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $28.18 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $112.20 | $194.98 | $194.98 |
Where Utah sits
The same service costs 4.5 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
$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.