How much rates vary
Facilitymedian $251 · 10th to 90th $138 to $562Professionalmedian $162 · 10th to 90th $98 to $257
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 $85.11 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $85.11 | $117.49 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $87.10 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $302.00 | Facility | None | $138.04 | $218.78 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $97.72 | $181.97 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $263.03 Typical High $389.05 | Professional | 50 · Both sides | $144.54 | $263.03 | $389.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $138.04 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $295.12 Typical High $691.83 | Facility | None | $165.96 | $295.12 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $107.15 | $128.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $33.11 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $95.50 | $234.42 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $107.15 | $125.89 | $186.21 |
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 $22.39 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $36.31 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $120.23 | $213.80 |
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 $42.66 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $42.66 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $16.98 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $67.61 | $95.50 | $95.50 |
Where Connecticut sits
The same service costs 4.2 times more in Alaska than in New York. 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· 22nd of 51
$162
AK $398NY $95.50
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.