How much rates vary
Facilitymedian $66 · 10th to 90th $39 to $229Professionalmedian $43 · 10th to 90th $25 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 $25.12 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $25.12 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.59 Typical High $10.72 | Professional | 26 · Professional part | $5.62 | $7.59 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $27.54 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $77.62 | Facility | None | $37.15 | $53.70 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $33.11 | $47.86 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.32 Typical High $11.75 | Professional | 26 · Professional part | $5.62 | $8.32 | $11.75 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $50.12 Median $72.44 Typical High $91.20 | Professional | 50 · Both sides | $50.12 | $72.44 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $27.54 | $39.81 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $162.18 | Facility | None | $51.29 | $85.11 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $26.92 | $39.81 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.13 Typical High $13.18 | Professional | 26 · Professional part | $7.59 | $8.13 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.30 Typical High $67.61 | Professional | TC · Technical part | $19.50 | $26.30 | $67.61 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $56.23 | Professional | None (both parts) | $30.90 | $35.48 | $56.23 |
Health New England Setting Facility Modifier None Typical Low $147.91 Median $234.42 Typical High $436.52 | Facility | None | $147.91 | $234.42 | $436.52 |
Health New England Setting Professional Modifier None (both parts) Typical Low $9.77 Median $13.80 Typical High $54.95 | Professional | None (both parts) | $9.77 | $13.80 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $27.54 | $45.71 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $5.50 | $8.91 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $36.31 Typical High $61.66 | Professional | TC · Technical part | $22.39 | $36.31 | $61.66 |
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 $12.30 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $12.30 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.90 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $19.50 | $28.18 | $28.18 |
Where Connecticut sits
The same service costs 11.5 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· 24th of 51
$42.66
VT $339FL $29.51
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.