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 $70.79 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $70.79 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $32.36 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $53.70 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $398.11 | Facility | None | $125.89 | $234.42 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $85.11 | $151.36 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $38.02 | $57.54 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $44.67 | $89.13 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $416.87 | Facility | None | $117.49 | $269.15 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $134.90 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $51.29 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $85.11 | $100.00 | $151.36 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $177.83 | Professional | None (both parts) | $91.20 | $128.82 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $213.80 | Professional | None (both parts) | $93.33 | $131.83 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $54.95 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $79.43 | $134.90 |
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 $35.48 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $56.23 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 4.4 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
$141
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.