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 $173.78 Median $1,000.00 Typical High $2,884.03 | Facility | None | $173.78 | $1,000.00 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $151.36 | $173.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $53.70 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $602.56 | Facility | None | $467.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $125.89 | $199.53 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $52.48 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $147.91 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $33.11 | $93.33 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $269.15 | Facility | None | $144.54 | $190.55 | $269.15 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $186.21 | $218.78 | $275.42 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $72.44 | $91.20 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $144.54 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Select Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $123.03 | $204.17 | $338.84 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $60.26 Median $128.82 Typical High $257.04 | Professional | None | $60.26 | $128.82 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $125.89 | $162.18 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $42.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $102.33 | $186.21 |
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 $79.43 Median $87.10 Typical High $134.90 | Professional | 52 · Reduced service | $79.43 | $87.10 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $53.70 | Professional | 53 · Discontinued | $32.36 | $34.67 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $120.23 | $141.25 | $141.25 |
Where Utah sits
The same service costs 4.3 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
$105
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.