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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $20.89 Typical High $52.48 | Professional | None (both parts) | $19.50 | $20.89 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $9.12 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $12.02 Typical High $35.48 | Professional | TC · Technical part | $11.75 | $12.02 | $35.48 |
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 $19.95 Median $19.95 Typical High $66.07 | Professional | None (both parts) | $19.95 | $19.95 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $8.91 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $40.74 | Professional | TC · Technical part | $10.96 | $10.96 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $27.54 Typical High $34.67 | Professional | None (both parts) | $22.91 | $27.54 | $34.67 |
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 $60.26 Median $64.57 Typical High $81.28 | Professional | None (both parts) | $60.26 | $64.57 | $81.28 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $21.38 | $22.39 | $28.18 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $39.81 | $41.69 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Select Health Setting Professional Modifier None (both parts) Typical Low $36.31 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $36.31 | $48.98 | $70.79 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $14.45 Median $34.67 Typical High $75.86 | Professional | None | $14.45 | $34.67 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $43.65 Typical High $75.86 | Professional | None (both parts) | $18.62 | $43.65 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $7.76 | $16.22 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $10.96 | $27.54 | $45.71 |
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 $10.47 Median $10.47 Typical High $32.36 | Professional | 52 · Reduced service | $10.47 | $10.47 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $12.88 | Professional | 53 · Discontinued | $4.17 | $4.17 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $16.98 Typical High $36.31 | Professional | FX · Film X-ray | $16.98 | $16.98 | $36.31 |
Where Utah sits
The same service costs 9.3 times more in Alaska than in New York. 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· 44th of 51
$30.20
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.