How much rates vary
Facilitymedian $288 · 10th to 90th $174 to $562Professionalmedian $162 · 10th to 90th $102 to $245
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 $81.28 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $81.28 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $87.10 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $398.11 | Facility | None | $173.78 | $229.09 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $93.33 | $169.82 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $38.90 | $63.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $257.04 Typical High $371.54 | Professional | 50 · Both sides | $144.54 | $257.04 | $371.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $72.44 | $134.90 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $338.84 Typical High $691.83 | Facility | None | $158.49 | $338.84 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $131.83 | $141.25 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $33.88 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $107.15 | $194.98 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $102.33 | $125.89 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $100.00 | $151.36 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $38.02 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $120.23 | $204.17 |
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 $40.74 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $40.74 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $16.22 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $64.57 | $93.33 | $93.33 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in New York. 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· 18th of 51
$162
AK $380NY $97.72
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.