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 $28.84 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $28.84 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $6.31 | $8.71 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $22.39 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $57.54 Typical High $79.43 | Facility | None | $38.90 | $57.54 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $52.48 Typical High $69.18 | Professional | None (both parts) | $34.67 | $52.48 | $69.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.55 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $9.55 | $13.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $27.54 | $42.66 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $194.98 | Facility | None | $53.70 | $91.20 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $83.18 | Professional | None (both parts) | $30.20 | $47.86 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $10.47 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $27.54 Typical High $70.79 | Professional | TC · Technical part | $19.50 | $27.54 | $70.79 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $35.48 | $38.02 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $30.20 | $48.98 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $10.00 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $41.69 | $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 $14.45 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $14.45 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $5.75 | $8.13 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $32.36 Typical High $32.36 | Professional | FX · Film X-ray | $24.55 | $32.36 | $32.36 |
Where Connecticut sits
The same service costs 3.6 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· 18th of 51
$52.48
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.