How much rates vary
Facilitymedian $81 · 10th to 90th $44 to $151Professionalmedian $47 · 10th to 90th $31 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 $26.92 Median $37.15 Typical High $38.90 | Professional | None (both parts) | $26.92 | $37.15 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $6.92 | $9.77 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $30.20 | Professional | TC · Technical part | $19.95 | $27.54 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $117.49 | Facility | None | $43.65 | $64.57 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $46.77 Typical High $63.10 | Professional | None (both parts) | $30.90 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $10.72 | $15.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $70.79 Typical High $93.33 | Professional | 50 · Both sides | $45.71 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $37.15 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $37.15 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $190.55 | Facility | None | $54.95 | $100.00 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $39.81 | $45.71 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $10.47 | $10.96 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $31.62 | $64.57 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $34.67 | $40.74 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $30.20 | $47.86 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.75 Typical High $17.78 | Professional | 26 · Professional part | $7.08 | $11.75 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $21.88 | $34.67 | $60.26 |
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 $13.49 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $13.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | FX · Film X-ray | $21.38 | $30.20 | $30.20 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska 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.
Connecticut· 21st of 51
$46.77
AK $112FL $28.84
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.