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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $3,388.44 | Professional | None (both parts) | $109.65 | $114.82 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $95.50 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $3,311.31 | Professional | TC · Technical part | $79.43 | $81.28 | $3,311.31 |
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 $138.04 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $138.04 | $138.04 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $93.33 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $42.66 | $42.66 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $97.72 | $158.49 | $269.15 |
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 $190.55 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $190.55 | $218.78 | $288.40 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $128.82 | $147.91 | $186.21 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $72.44 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $309.03 Typical High $5,011.87 | Professional | None (both parts) | $97.72 | $309.03 | $5,011.87 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $72.44 Median $186.21 Typical High $389.05 | Professional | None | $72.44 | $186.21 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,737.80 Typical High $5,623.41 | Professional | None (both parts) | $123.03 | $1,737.80 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $79.43 | $93.33 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $1,621.81 Typical High $3,715.35 | Professional | TC · Technical part | $41.69 | $1,621.81 | $3,715.35 |
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 $57.54 Typical High $2,454.71 | Professional | 52 · Reduced service | $57.54 | $57.54 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $977.24 | Professional | 53 · Discontinued | $22.91 | $22.91 | $977.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $2,511.89 | Professional | FX · Film X-ray | $91.20 | $91.20 | $2,511.89 |
Where Utah sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 43rd of 51
$174
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.