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 $23.44 Median $32.36 Typical High $51.29 | Professional | None (both parts) | $23.44 | $32.36 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $38.02 | Professional | TC · Technical part | $16.98 | $23.44 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $93.33 | Facility | None | $36.31 | $53.70 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $47.86 Typical High $60.26 | Professional | None (both parts) | $28.18 | $47.86 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.47 Typical High $14.79 | Professional | 26 · Professional part | $6.76 | $10.47 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $63.10 Typical High $79.43 | Professional | 50 · Both sides | $41.69 | $63.10 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $22.91 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $165.96 | Facility | None | $45.71 | $83.18 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $33.11 | $38.90 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $10.47 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $56.23 | Professional | TC · Technical part | $22.91 | $26.30 | $56.23 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.90 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $30.90 | $36.31 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $363.08 | Facility | None | $144.54 | $144.54 | $363.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.75 Median $16.60 Typical High $53.70 | Professional | None (both parts) | $11.75 | $16.60 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $27.54 | $43.65 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $6.76 | $10.96 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $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 $11.48 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $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 3.7 times more in Alaska 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
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.