How much rates vary
Facilitymedian $83 · 10th to 90th $41 to $245Professionalmedian $40 · 10th to 90th $17 to $60
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 Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $25.12 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $10.23 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $21.88 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $109.65 | Facility | None | $35.48 | $53.70 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $57.54 | Professional | None (both parts) | $30.20 | $43.65 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.22 Typical High $16.22 | Professional | 26 · Professional part | $7.59 | $11.22 | $16.22 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $64.57 Typical High $83.18 | Professional | 50 · Both sides | $45.71 | $64.57 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $22.91 | $32.36 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $85.11 Typical High $162.18 | Facility | None | $44.67 | $85.11 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $38.02 | $40.74 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $11.48 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $56.23 | Professional | TC · Technical part | $27.54 | $29.51 | $56.23 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $51.29 | Professional | None (both parts) | $30.90 | $37.15 | $51.29 |
Health New England Setting Facility Modifier None Typical Low $147.91 Median $245.47 Typical High $269.15 | Facility | None | $147.91 | $245.47 | $269.15 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.18 Median $17.78 Typical High $58.88 | Professional | None (both parts) | $13.18 | $17.78 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $27.54 | $45.71 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $12.30 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $18.62 | $33.11 | $51.29 |
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 $11.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $11.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.47 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $18.20 | $25.70 | $25.70 |
Where Connecticut sits
The same service costs 15.5 times more in Vermont 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· 25th of 51
$39.81
VT $427FL $27.54
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.