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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $162.18 | $162.18 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $426.58 Typical High $1,949.84 | Facility | None | $263.03 | $426.58 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $107.15 | $107.15 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $45.71 | $45.71 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $61.66 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $33.11 | $33.88 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $812.83 | Facility | None | $398.11 | $524.81 | $812.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $138.04 | $147.91 | $162.18 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $60.26 | $74.13 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $81.28 | $87.10 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Select Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $45.71 | $63.10 | $74.13 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $60.26 | $70.79 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $154.88 | Professional | None | $44.67 | $77.62 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $109.65 | $275.42 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $42.66 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $67.61 | $234.42 | $281.84 |
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 $91.20 Median $91.20 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | 53 · Discontinued | $36.31 | $36.31 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $181.97 | Professional | FX · Film X-ray | $144.54 | $144.54 | $181.97 |
Where Utah sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 42nd of 51
$138
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.