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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $288.40 | Professional | None (both parts) | $154.88 | $162.18 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $97.72 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $66.07 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $199.53 | $199.53 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $93.33 | $93.33 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $104.71 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $74.13 | $97.72 | $190.55 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $269.15 | $281.84 | $363.08 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $158.49 | Professional | 26 · Professional part | $117.49 | $125.89 | $158.49 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $158.49 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Select Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $194.98 | $269.15 | $316.23 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $89.13 | $123.03 | $144.54 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $147.91 | $173.78 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $354.81 | Professional | None | $85.11 | $169.82 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $190.55 | $204.17 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $91.20 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $107.15 | $112.20 | $186.21 |
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 $81.28 Median $81.28 Typical High $199.53 | Professional | 52 · Reduced service | $81.28 | $81.28 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $79.43 | Professional | 53 · Discontinued | $33.11 | $33.11 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $316.23 | Professional | FX · Film X-ray | $131.83 | $131.83 | $316.23 |
Where Utah sits
The same service costs 5.8 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
$102
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.