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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $102.33 | Professional | None (both parts) | $35.48 | $35.48 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $36.31 | Professional | 26 · Professional part | $17.78 | $17.78 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $89.13 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $724.44 | Facility | None | $95.50 | $158.49 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $81.28 | $102.33 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $35.48 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $89.13 | Professional | TC · Technical part | $53.70 | $66.07 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $60.26 | Professional | None (both parts) | $30.20 | $44.67 | $60.26 |
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 $120.23 Median $302.00 Typical High $338.84 | Professional | None (both parts) | $120.23 | $302.00 | $338.84 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $107.15 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $107.15 | $117.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $77.62 | $199.53 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Select Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $7,585.78 | Professional | None (both parts) | $213.80 | $229.09 | $7,585.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $35.48 Median $69.18 Typical High $107.15 | Professional | None | $35.48 | $69.18 | $107.15 |
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 $17.78 Median $17.78 Typical High $57.54 | Professional | 52 · Reduced service | $17.78 | $17.78 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $22.91 | Professional | 53 · Discontinued | $7.08 | $7.08 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $28.18 Typical High $56.23 | Professional | FX · Film X-ray | $28.18 | $28.18 | $56.23 |
Where Utah sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 13th of 51
$166
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.