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 $95.50 Median $95.50 Typical High $109.65 | Facility | None | $95.50 | $95.50 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $64.57 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $64.57 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $891.25 | Facility | None | $114.82 | $190.55 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $75.86 | $85.11 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $29.51 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $56.23 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $64.57 | Professional | None (both parts) | $25.12 | $34.67 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $389.05 | Facility | None | $173.78 | $229.09 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $107.15 | Professional | None (both parts) | $81.28 | $87.10 | $107.15 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $40.74 | $50.12 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $57.54 | Professional | TC · Technical part | $43.65 | $46.77 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Select Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $60.26 | $85.11 | $100.00 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $39.81 | $46.77 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $45.71 Typical High $53.70 | Professional | TC · Technical part | $31.62 | $45.71 | $53.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $28.18 Median $53.70 Typical High $128.82 | Professional | None | $28.18 | $53.70 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $67.61 | $83.18 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $29.51 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $51.29 | $72.44 |
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 $29.51 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $29.51 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $19.05 Typical High $23.99 | Professional | 53 · Discontinued | $11.75 | $19.05 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $75.86 Typical High $95.50 | Professional | FX · Film X-ray | $46.77 | $75.86 | $95.50 |
Where Utah sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 50th of 51
$48.98
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.