How much rates vary
Facilitymedian $98 · 10th to 90th $55 to $174Professionalmedian $56 · 10th to 90th $37 to $85
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 $34.67 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $34.67 | $46.77 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $15.14 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $45.71 | Professional | TC · Technical part | $23.44 | $31.62 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $74.13 Typical High $147.91 | Facility | None | $50.12 | $74.13 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $38.02 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $16.22 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $41.69 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $223.87 | Facility | None | $64.57 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $102.33 | Professional | None (both parts) | $53.70 | $58.88 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $15.85 | $16.98 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $38.02 | $39.81 | $74.13 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $69.18 | Professional | None (both parts) | $43.65 | $53.70 | $69.18 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.42 Typical High $77.62 | Professional | None (both parts) | $19.05 | $20.42 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $38.90 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.20 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $18.20 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $40.74 | $67.61 |
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 $16.60 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $16.60 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $6.61 | $9.33 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $26.30 | $37.15 | $37.15 |
Where Connecticut sits
The same service costs 4.1 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· 26th of 51
$56.23
AK $132UT $32.36
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.