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 $234.42 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $234.42 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $11.48 | $16.22 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $251.19 Typical High $275.42 | Professional | TC · Technical part | $229.09 | $251.19 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $707.95 | Facility | None | $91.20 | $181.97 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $218.78 | $338.84 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $13.80 | $19.50 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $338.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $645.65 | Facility | None | $79.43 | $141.25 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $63.10 | $66.07 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $18.20 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $18.20 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $48.98 | $72.44 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $51.29 | $63.10 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $61.66 | $309.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $28.84 | Professional | 26 · Professional part | $12.02 | $19.05 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $45.71 | $309.03 | $467.74 |
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 $117.49 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $51.29 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $204.17 | $223.87 |
Where Connecticut sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 5th of 51
$257
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.