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 $25.12 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $25.12 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $9.55 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $18.20 | $23.44 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $117.49 | Facility | None | $37.15 | $58.88 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $53.70 | Professional | None (both parts) | $28.84 | $38.90 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $10.23 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $39.81 | Professional | TC · Technical part | $21.38 | $29.51 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $154.88 | Facility | None | $46.77 | $89.13 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $69.18 | Professional | None (both parts) | $39.81 | $42.66 | $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 $29.51 Median $30.90 Typical High $52.48 | Professional | TC · Technical part | $29.51 | $30.90 | $52.48 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $30.90 | $37.15 | $48.98 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.02 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $12.02 | $52.48 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $26.92 | $41.69 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $6.92 | $11.22 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $30.20 | $46.77 |
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 $11.75 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $11.75 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $4.68 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $18.62 | $26.30 | $26.30 |
Where Connecticut sits
The same service costs 3.5 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· 24th of 51
$39.81
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.