How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $97.72 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $107.15 | $112.20 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $39.81 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $72.44 | $100.00 |
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 Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $134.90 | $141.25 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $56.23 | $64.57 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $87.10 | $102.33 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Select Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $97.72 | $128.82 | $151.36 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $39.81 | $52.48 | $61.66 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $57.54 | $77.62 | $91.20 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $45.71 Median $85.11 Typical High $181.97 | Professional | None | $45.71 | $85.11 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $97.72 | $100.00 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $44.67 | Professional | 26 · Professional part | $34.67 | $35.48 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $61.66 | $64.57 | $79.43 |
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 $44.67 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $17.78 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $79.43 | $100.00 | $100.00 |
Where Utah sits
The same service costs 4.5 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· 49th of 51
$74.13
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.