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 $102.33 Typical High $151.36 | Professional | None (both parts) | $70.79 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $44.67 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $40.74 | $57.54 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $457.09 Typical High $776.25 | Facility | None | $89.13 | $457.09 | $776.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $79.43 | $154.88 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $56.23 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $47.86 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $316.23 Typical High $1,202.26 | Facility | None | $173.78 | $316.23 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $147.91 | $239.88 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $50.12 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $194.98 | $208.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $131.83 | $158.49 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $245.47 | Professional | None (both parts) | $93.33 | $144.54 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $52.48 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $56.23 | $87.10 | $138.04 |
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 $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $14.13 | $20.42 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $57.54 | $81.28 | $81.28 |
Where Connecticut sits
The same service costs 4.3 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
$158
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.