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 $128.82 Median $128.82 Typical High $338.84 | Facility | None | $128.82 | $128.82 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $107.15 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $30.90 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $97.72 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $338.84 Typical High $891.25 | Facility | None | $114.82 | $338.84 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $109.65 | $109.65 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $30.20 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $81.28 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $33.88 | $66.07 | $128.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $457.09 | Facility | None | $173.78 | $229.09 | $457.09 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $154.88 | $165.96 | $204.17 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $39.81 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $125.89 | $151.36 |
Select Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $112.20 | $151.36 | $177.83 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $38.90 | $44.67 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $85.11 | $112.20 | $131.83 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $33.88 Median $104.71 Typical High $213.80 | Professional | None | $33.88 | $104.71 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $109.65 | $117.49 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $28.84 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $89.13 | $144.54 |
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 $56.23 Median $64.57 Typical High $112.20 | Professional | 52 · Reduced service | $56.23 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $45.71 | Professional | 53 · Discontinued | $22.39 | $25.70 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $102.33 Typical High $181.97 | Professional | FX · Film X-ray | $91.20 | $102.33 | $181.97 |
Where Utah sits
The same service costs 4.1 times more in Minnesota 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· 49th of 51
$95.50
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.