How much rates vary
Facilitymedian $72 · 10th to 90th $41 to $195Professionalmedian $40 · 10th to 90th $17 to $60
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 $43.65 Median $43.65 Typical High $46.77 | Facility | None | $43.65 | $43.65 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $34.67 Typical High $54.95 | Professional | None (both parts) | $23.99 | $34.67 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.92 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $25.12 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $100.00 | Facility | None | $35.48 | $52.48 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $56.23 | Professional | None (both parts) | $30.20 | $41.69 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.23 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $10.23 | $15.49 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $63.10 Typical High $81.28 | Professional | 50 · Both sides | $44.67 | $63.10 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $32.36 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $165.96 | Facility | None | $44.67 | $83.18 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $34.67 | $38.90 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $10.47 | $10.96 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $26.30 | $56.23 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $50.12 | Professional | None (both parts) | $30.20 | $35.48 | $50.12 |
Health New England Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $331.13 | Facility | None | $147.91 | $218.78 | $331.13 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.88 Median $16.98 Typical High $35.48 | Professional | None (both parts) | $12.88 | $16.98 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $67.61 | Professional | None (both parts) | $28.18 | $44.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $6.92 | $10.96 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $33.88 | $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 $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 $19.50 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $19.50 | $27.54 | $27.54 |
Where Connecticut sits
The same service costs 12.9 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· 23rd of 51
$40.74
VT $347FL $26.92
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.