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 $51.29 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $51.29 | $69.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $17.78 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $51.29 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $223.87 | Facility | None | $81.28 | $120.23 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $53.70 | $75.86 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $18.62 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $18.62 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $57.54 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $162.18 Typical High $302.00 | Facility | None | $95.50 | $162.18 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $77.62 | $93.33 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $22.39 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $60.26 | $107.15 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $74.13 | $87.10 | $102.33 |
Health New England Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Health New England Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.88 Typical High $131.83 | Professional | None (both parts) | $21.38 | $33.88 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $52.48 | $81.28 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $19.50 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $93.33 | Professional | TC · Technical part | $38.02 | $61.66 | $93.33 |
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 $24.55 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $9.77 | $13.80 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | FX · Film X-ray | $39.81 | $54.95 | $54.95 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 19th of 51
$81.28
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.