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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $56.23 | $67.61 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $30.20 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $60.26 | Professional | TC · Technical part | $32.36 | $38.02 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $4,265.80 | Facility | None | $602.56 | $954.99 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $63.10 | $63.10 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $28.84 | $29.51 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | TC · Technical part | $33.11 | $33.11 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $85.11 | $97.72 | $120.23 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $39.81 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $57.54 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $54.95 | $67.61 | $114.82 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $26.92 Median $54.95 Typical High $112.20 | Professional | None | $26.92 | $54.95 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $56.23 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $26.92 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $58.88 | Professional | TC · Technical part | $30.20 | $34.67 | $58.88 |
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 $30.90 Median $33.88 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $17.78 | Professional | 53 · Discontinued | $12.30 | $13.49 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $48.98 | $54.95 | $54.95 |
Where Utah sits
The same service costs 3.8 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
$50.12
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.