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 $75.86 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $75.86 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $58.88 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $407.38 Typical High $812.83 | Facility | None | $134.90 | $407.38 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $85.11 | $147.91 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $58.88 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $47.86 | $89.13 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,202.26 | Facility | None | $169.82 | $323.59 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $151.36 | $257.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $85.11 | Professional | 26 · Professional part | $52.48 | $53.70 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $194.98 | $218.78 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $123.03 | $158.49 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $100.00 | $151.36 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $37.15 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $89.13 | $147.91 |
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 $38.02 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $21.88 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $60.26 | $87.10 | $87.10 |
Where Connecticut sits
The same service costs 4.6 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· 25th of 51
$148
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.