How much rates vary
Facilitymedian $112 · 10th to 90th $60 to $214Professionalmedian $65 · 10th to 90th $39 to $95
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 $37.15 Median $53.70 Typical High $69.18 | Professional | None (both parts) | $37.15 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $16.60 | Professional | 26 · Professional part | $9.55 | $13.49 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $30.20 | $39.81 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $89.13 Typical High $162.18 | Facility | None | $60.26 | $89.13 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $64.57 Typical High $87.10 | Professional | None (both parts) | $40.74 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.13 Typical High $19.95 | Professional | 26 · Professional part | $11.22 | $14.13 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $51.29 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $234.42 | Facility | None | $75.86 | $123.03 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $109.65 | Professional | None (both parts) | $53.70 | $61.66 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.79 Typical High $22.39 | Professional | 26 · Professional part | $13.80 | $14.79 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $44.67 | $89.13 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $79.43 | Professional | None (both parts) | $47.86 | $56.23 | $79.43 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.62 Median $21.38 Typical High $81.28 | Professional | None (both parts) | $18.62 | $21.38 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $67.61 Typical High $104.71 | Professional | None (both parts) | $42.66 | $67.61 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.85 Typical High $23.99 | Professional | 26 · Professional part | $10.00 | $15.85 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $50.12 Typical High $81.28 | Professional | TC · Technical part | $31.62 | $50.12 | $81.28 |
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 $18.62 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $18.62 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $7.41 | $10.72 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $29.51 | $42.66 | $42.66 |
Where Connecticut sits
The same service costs 4.5 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· 20th of 51
$64.57
AK $148UT $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.