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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $83.18 | $100.00 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $34.67 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $53.70 | $64.57 | $100.00 |
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 $89.13 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $89.13 | $89.13 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $33.88 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $54.95 | $54.95 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $33.88 | $66.07 | $97.72 |
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 $114.82 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $114.82 | $120.23 | $141.25 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $45.71 | $57.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $93.33 | Professional | TC · Technical part | $70.79 | $75.86 | $93.33 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Select Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $83.18 | $112.20 | $131.83 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $33.11 | $43.65 | $51.29 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $51.29 | $69.18 | $81.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $30.90 Median $69.18 Typical High $144.54 | Professional | None | $30.90 | $69.18 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $144.54 | Professional | None (both parts) | $81.28 | $89.13 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $33.11 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $51.29 | $52.48 | $87.10 |
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 $41.69 Median $50.12 Typical High $83.18 | Professional | 52 · Reduced service | $41.69 | $50.12 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $33.11 | Professional | 53 · Discontinued | $16.60 | $19.95 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $79.43 Typical High $131.83 | Professional | FX · Film X-ray | $66.07 | $79.43 | $131.83 |
Where Utah sits
The same service costs 3.6 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.