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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $223.87 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $954.99 Typical High $4,265.80 | Facility | None | $602.56 | $954.99 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $208.93 | $208.93 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $81.28 | $141.25 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,698.24 | Facility | None | $870.96 | $1,174.90 | $1,698.24 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $363.08 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $363.08 | $389.05 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Select Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $263.03 | $363.08 | $426.58 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $79.43 Median $245.47 Typical High $549.54 | Professional | None | $79.43 | $245.47 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $218.78 | $275.42 | $467.74 |
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 $70.79 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $269.15 | Professional | 52 · Reduced service | $117.49 | $117.49 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $107.15 | Professional | 53 · Discontinued | $46.77 | $46.77 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $426.58 | Professional | FX · Film X-ray | $190.55 | $190.55 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $144.54 | $144.54 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $89.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $123.03 | $295.12 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $117.49 | $144.54 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $251.19 | $275.42 | $331.13 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $83.18 | $112.20 | $131.83 |
Select Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $251.19 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $134.90 | $194.98 | $275.42 |
Where Utah sits
The same service costs 5.0 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
$158
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.