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 Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Facility | None | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $22.39 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.46 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $16.22 | $19.95 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $93.33 | Facility | None | $31.62 | $46.77 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $27.54 | $38.02 | $51.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $14.13 | Professional | 26 · Professional part | $6.76 | $9.77 | $14.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | 50 · Both sides | $40.74 | $57.54 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.84 Typical High $38.02 | Professional | TC · Technical part | $20.42 | $28.84 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $147.91 | Facility | None | $41.69 | $77.62 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $32.36 | $35.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $15.85 | Professional | 26 · Professional part | $9.12 | $9.77 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $25.12 | $51.29 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $27.54 | $32.36 | $44.67 |
Health New England Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.49 Typical High $50.12 | Professional | None (both parts) | $11.75 | $15.49 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $25.12 | $40.74 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $10.72 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $28.84 | $46.77 |
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 $10.23 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.23 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $4.07 | $5.89 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $23.44 Typical High $23.44 | Professional | FX · Film X-ray | $16.22 | $23.44 | $23.44 |
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· 23rd of 51
$38.02
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.