How much rates vary
Facilitymedian $65 · 10th to 90th $35 to $120Professionalmedian $40 · 10th to 90th $22 to $69
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 Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $23.44 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $16.60 | $21.88 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $83.18 | Facility | None | $35.48 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.88 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $21.88 | $44.67 | $77.62 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $5.89 | $12.02 | $21.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $60.26 Typical High $114.82 | Professional | 50 · Both sides | $34.67 | $60.26 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $17.38 | $33.88 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $151.36 | Facility | None | $43.65 | $74.13 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $29.51 | $33.88 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $10.00 | $10.72 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $52.48 | Professional | TC · Technical part | $19.50 | $22.91 | $52.48 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $28.84 | $33.11 | $46.77 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.30 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $12.30 | $23.99 | $23.99 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $25.12 | $39.81 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.96 Typical High $17.38 | Professional | 26 · Professional part | $6.76 | $10.96 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $28.18 | $47.86 |
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 $10.72 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $10.72 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $4.27 | $6.17 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | FX · Film X-ray | $17.38 | $24.55 | $24.55 |
Where Connecticut sits
The same service costs 4.1 times more in Alaska than in New York. 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.
Connecticut· 20th of 51
$39.81
AK $95.50NY $23.44
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.