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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.14 Typical High $21.88 | Professional | None (both parts) | $11.75 | $15.14 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.47 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.80 Median $4.79 Typical High $6.76 | Professional | TC · Technical part | $3.80 | $4.79 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $208.93 | Facility | None | $26.92 | $51.29 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $14.13 Typical High $20.89 | Professional | None (both parts) | $13.18 | $14.13 | $20.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $9.12 | $10.00 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $3.98 Typical High $6.76 | Professional | TC · Technical part | $3.98 | $3.98 | $6.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $22.39 Typical High $60.26 | Professional | None (both parts) | $8.51 | $22.39 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $81.28 | Facility | None | $41.69 | $57.54 | $81.28 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.98 Typical High $20.89 | Professional | None (both parts) | $16.22 | $16.98 | $20.89 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.48 Typical High $14.13 | Professional | 26 · Professional part | $10.96 | $11.48 | $14.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $5.50 Typical High $6.76 | Professional | TC · Technical part | $5.25 | $5.50 | $6.76 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Select Health Setting Professional Modifier None (both parts) Typical Low $12.02 Median $16.22 Typical High $19.05 | Professional | None (both parts) | $12.02 | $16.22 | $19.05 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $10.96 | $12.88 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $5.50 Typical High $6.46 | Professional | TC · Technical part | $3.72 | $5.50 | $6.46 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $4.37 Median $10.96 Typical High $21.88 | Professional | None | $4.37 | $10.96 | $21.88 |
United Setting Professional Modifier None (both parts) Typical Low $11.75 Median $13.18 Typical High $19.95 | Professional | None (both parts) | $11.75 | $13.18 | $19.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $7.76 | $8.32 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $3.98 Typical High $6.31 | Professional | TC · Technical part | $3.63 | $3.98 | $6.31 |
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 $5.89 Median $7.59 Typical High $11.48 | Professional | 52 · Reduced service | $5.89 | $7.59 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.02 Typical High $4.57 | Professional | 53 · Discontinued | $2.34 | $3.02 | $4.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.33 Median $12.30 Typical High $18.62 | Professional | FX · Film X-ray | $9.33 | $12.30 | $18.62 |
Where Utah sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 20th of 51
$15.49
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.