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 Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $39.81 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $13.18 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $26.30 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $141.25 | Facility | None | $63.10 | $89.13 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $45.71 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $29.51 | Professional | 26 · Professional part | $15.85 | $20.42 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $54.95 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $288.40 | Facility | None | $63.10 | $117.49 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $63.10 Typical High $131.83 | Professional | None (both parts) | $54.95 | $63.10 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $19.50 | $20.89 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $97.72 | Professional | TC · Technical part | $35.48 | $39.81 | $97.72 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $87.10 | Professional | None (both parts) | $45.71 | $56.23 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $45.71 | $70.79 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.91 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $22.91 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $47.86 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $47.86 | $87.10 |
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 $19.95 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $19.95 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $11.48 | $11.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $45.71 Typical High $45.71 | Professional | FX · Film X-ray | $32.36 | $45.71 | $45.71 |
Where Connecticut sits
The same service costs 5.6 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.
Connecticut· 19th of 51
$74.13
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.