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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $288.40 | Professional | None (both parts) | $134.90 | $144.54 | $288.40 |
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 $125.89 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $125.89 | $125.89 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $53.70 | $85.11 | $154.88 |
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 $257.04 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $257.04 | $269.15 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Select Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $186.21 | $263.03 | $309.03 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $58.88 Median $144.54 Typical High $281.84 | Professional | None | $58.88 | $144.54 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $309.03 | Professional | None (both parts) | $134.90 | $144.54 | $309.03 |
13 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 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $60.26 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $72.44 Typical High $147.91 | Professional | 52 · Reduced service | $67.61 | $72.44 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $28.84 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $234.42 | Professional | FX · Film X-ray | $114.82 | $114.82 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $85.11 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $58.88 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $67.61 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $89.13 | $93.33 | $109.65 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $165.96 | $177.83 | $194.98 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $91.20 | $107.15 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $173.78 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $60.26 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $79.43 | $85.11 | $134.90 |
Where Utah sits
The same service costs 4.9 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
$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.