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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.24 Median $11.48 Typical High $11.48 | Professional | None (both parts) | $7.24 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $3.02 Typical High $3.80 | Professional | 26 · Professional part | $2.75 | $3.02 | $3.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $8.32 Typical High $8.32 | Professional | TC · Technical part | $4.47 | $8.32 | $8.32 |
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 $8.32 Median $11.75 Typical High $15.14 | Professional | None (both parts) | $8.32 | $11.75 | $15.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.09 Typical High $5.01 | Professional | 26 · Professional part | $3.09 | $3.09 | $5.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $8.71 Typical High $9.77 | Professional | TC · Technical part | $5.13 | $8.71 | $9.77 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $12.02 Typical High $60.26 | Professional | None (both parts) | $4.90 | $12.02 | $60.26 |
Regence BlueShield Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $389.05 | Facility | None | $173.78 | $229.09 | $389.05 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $10.47 Median $11.75 Typical High $14.79 | Professional | None (both parts) | $10.47 | $11.75 | $14.79 |
Regence BlueShield Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $4.37 Typical High $5.50 | Professional | 26 · Professional part | $3.80 | $4.37 | $5.50 |
Regence BlueShield Setting Professional Modifier TC · Technical part Typical Low $6.61 Median $7.24 Typical High $9.12 | Professional | TC · Technical part | $6.61 | $7.24 | $9.12 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Select Health Setting Professional Modifier None (both parts) Typical Low $6.92 Median $8.71 Typical High $23.44 | Professional | None (both parts) | $6.92 | $8.71 | $23.44 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $3.31 Median $6.92 Typical High $16.60 | Professional | None | $3.31 | $6.92 | $16.60 |
United Setting Professional Modifier None (both parts) Typical Low $7.08 Median $8.71 Typical High $23.99 | Professional | None (both parts) | $7.08 | $8.71 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.88 Typical High $4.79 | Professional | 26 · Professional part | $2.69 | $2.88 | $4.79 |
United Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.68 Typical High $12.59 | Professional | TC · Technical part | $4.27 | $4.68 | $12.59 |
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 $3.63 Median $5.75 Typical High $5.75 | Professional | 52 · Reduced service | $3.63 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $2.29 Typical High $2.29 | Professional | 53 · Discontinued | $1.45 | $2.29 | $2.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.89 Median $9.12 Typical High $9.12 | Professional | FX · Film X-ray | $5.89 | $9.12 | $9.12 |
Where Utah sits
The same service costs 4.2 times more in Kansas than in Florida. 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· 20th of 51
$11.48
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.