How much rates vary
Facilitymedian $331 · 10th to 90th $204 to $617Professionalmedian $155 · 10th to 90th $107 to $282
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 $91.20 Median $125.89 Typical High $154.88 | Professional | None (both parts) | $91.20 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $30.20 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $95.50 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $501.19 | Facility | None | $204.17 | $281.84 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $104.71 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $44.67 | $64.57 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $154.88 Median $251.19 Typical High $426.58 | Professional | 50 · Both sides | $154.88 | $251.19 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $123.03 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $776.25 | Facility | None | $204.17 | $380.19 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $147.91 | $165.96 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $34.67 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | TC · Technical part | $109.65 | $131.83 | $213.80 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $131.83 | $154.88 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $107.15 | $165.96 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $23.44 | $38.02 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $128.82 Typical High $218.78 | Professional | TC · Technical part | $85.11 | $128.82 | $218.78 |
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 $45.71 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $72.44 | $102.33 | $102.33 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Texas. 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
$158
AK $355TX $100
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.