How much rates vary
Facilitymedian $102 · 10th to 90th $58 to $186Professionalmedian $55 · 10th to 90th $39 to $81
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 $30.90 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $30.90 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $15.14 | Professional | 26 · Professional part | $8.13 | $11.75 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $22.39 | $31.62 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $173.78 | Facility | None | $50.12 | $87.10 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $75.86 | Professional | None (both parts) | $38.90 | $53.70 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $13.49 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $39.81 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $208.93 | Facility | None | $66.07 | $117.49 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $56.23 | $60.26 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $14.13 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $45.71 | $70.79 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $44.67 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $44.67 | $54.95 | $67.61 |
Health New England Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | None (both parts) | $16.60 | $16.60 | $16.98 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $87.10 | Professional | None (both parts) | $38.02 | $54.95 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $15.14 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $40.74 Typical High $64.57 | Professional | TC · Technical part | $27.54 | $40.74 | $64.57 |
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 $15.49 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $15.49 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $6.17 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $24.55 | $34.67 | $34.67 |
Where Connecticut sits
The same service costs 3.9 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· 21st of 51
$56.23
AK $129UT $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.