How much rates vary
Facilitymedian $78 · 10th to 90th $42 to $257Professionalmedian $41 · 10th to 90th $17 to $65
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 $25.70 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $25.70 | $34.67 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $9.55 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $24.55 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $102.33 | Facility | None | $38.02 | $56.23 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $46.77 Typical High $61.66 | Professional | None (both parts) | $32.36 | $46.77 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $10.23 | $14.79 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $47.86 Median $69.18 Typical High $89.13 | Professional | 50 · Both sides | $47.86 | $69.18 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $36.31 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $177.83 | Facility | None | $50.12 | $89.13 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $34.67 | $40.74 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $16.60 | Professional | 26 · Professional part | $10.00 | $10.72 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $63.10 | Professional | TC · Technical part | $24.55 | $28.84 | $63.10 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $31.62 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $31.62 | $45.71 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $676.08 | Facility | None | $223.87 | $269.15 | $676.08 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.60 Typical High $56.23 | Professional | None (both parts) | $13.80 | $16.60 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $45.71 Typical High $70.79 | Professional | None (both parts) | $28.84 | $45.71 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $6.92 | $11.22 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $33.11 | $57.54 |
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 $12.02 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $4.79 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $19.05 | $27.54 | $27.54 |
Where Connecticut sits
The same service costs 13.5 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
$41.69
VT $389FL $28.84
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.