How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $87.10 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $45.71 | $53.70 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $53.70 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $97.72 | $97.72 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $44.67 | $45.71 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $97.72 | Professional | None (both parts) | $25.12 | $34.67 | $97.72 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $123.03 | $128.82 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $69.18 | $85.11 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $57.54 | $61.66 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Select Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $91.20 | $123.03 | $144.54 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $67.61 | $79.43 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $56.23 | $66.07 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $41.69 Median $77.62 Typical High $158.49 | Professional | None | $41.69 | $77.62 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $154.88 | Professional | None (both parts) | $89.13 | $97.72 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $79.43 | Professional | 26 · Professional part | $47.86 | $50.12 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $42.66 | $70.79 |
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 $44.67 Median $53.70 Typical High $91.20 | Professional | 52 · Reduced service | $44.67 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $36.31 | Professional | 53 · Discontinued | $17.78 | $21.38 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $85.11 Typical High $144.54 | Professional | FX · Film X-ray | $70.79 | $85.11 | $144.54 |
Where Utah sits
The same service costs 4.2 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· 49th of 51
$72.44
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.