How much rates vary
Facilitymedian $100 · 10th to 90th $62 to $182Professionalmedian $54 · 10th to 90th $39 to $83
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 $36.31 Median $50.12 Typical High $61.66 | Professional | None (both parts) | $36.31 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $19.05 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $31.62 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $85.11 Typical High $169.82 | Facility | None | $53.70 | $85.11 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $79.43 | Professional | None (both parts) | $42.66 | $52.48 | $79.43 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $18.20 | $26.92 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $38.02 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $38.02 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $123.03 Typical High $199.53 | Facility | None | $63.10 | $123.03 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $60.26 | $66.07 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $19.05 | $20.89 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $44.67 | $67.61 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $46.77 | $57.54 | $74.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.89 Typical High $72.44 | Professional | None (both parts) | $19.05 | $20.89 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $63.10 Typical High $89.13 | Professional | None (both parts) | $38.90 | $63.10 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $18.62 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $63.10 | Professional | TC · Technical part | $26.30 | $40.74 | $63.10 |
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 $17.78 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $17.78 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $7.08 | $10.00 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $40.74 Typical High $40.74 | Professional | FX · Film X-ray | $28.18 | $40.74 | $40.74 |
Where Connecticut sits
The same service costs 4.0 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· 30th of 51
$54.95
AK $132UT $33.11
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.