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 $16.22 Median $22.91 Typical High $28.18 | Professional | None (both parts) | $16.22 | $22.91 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.30 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $12.30 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.96 Typical High $13.18 | Professional | TC · Technical part | $7.41 | $10.96 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $53.70 Typical High $109.65 | Facility | None | $23.44 | $53.70 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.38 Median $23.44 Typical High $34.67 | Professional | None (both parts) | $17.38 | $23.44 | $34.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $12.30 | $17.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $11.48 Typical High $17.78 | Professional | TC · Technical part | $8.51 | $11.48 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $102.33 | Facility | None | $23.44 | $39.81 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $25.70 | $37.15 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $12.59 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $27.54 Typical High $29.51 | Professional | TC · Technical part | $12.59 | $27.54 | $29.51 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.92 Typical High $39.81 | Professional | None (both parts) | $20.89 | $26.92 | $39.81 |
Health New England Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | None (both parts) | $18.62 | $18.62 | $19.05 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $27.54 Typical High $41.69 | Professional | None (both parts) | $16.98 | $27.54 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $13.80 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $12.59 Typical High $19.05 | Professional | TC · Technical part | $7.76 | $12.59 | $19.05 |
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 $7.94 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $7.94 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $3.16 | $4.57 | $4.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $18.62 Typical High $18.62 | Professional | FX · Film X-ray | $12.88 | $18.62 | $18.62 |
Where Connecticut sits
The same service costs 3.6 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· 26th of 51
$25.70
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.