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 $23.99 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $23.99 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $10.96 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $18.62 | $21.88 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $61.66 Typical High $123.03 | Facility | None | $36.31 | $61.66 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $26.30 | $39.81 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $11.48 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $154.88 | Facility | None | $47.86 | $89.13 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $72.44 | Professional | None (both parts) | $41.69 | $44.67 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $11.48 | $12.30 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $32.36 Typical High $52.48 | Professional | TC · Technical part | $30.20 | $32.36 | $52.48 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $31.62 Median $39.81 Typical High $51.29 | Professional | None (both parts) | $31.62 | $39.81 | $51.29 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.80 Median $51.29 Typical High $53.70 | Professional | None (both parts) | $13.80 | $51.29 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $42.66 Typical High $66.07 | Professional | None (both parts) | $28.84 | $42.66 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $13.18 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $28.18 | $47.86 |
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 $11.48 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $18.20 | $26.30 | $26.30 |
Where Connecticut sits
The same service costs 3.5 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· 24th of 51
$40.74
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.