How much rates vary
Facilitymedian $68 · 10th to 90th $35 to $117Professionalmedian $35 · 10th to 90th $21 to $52
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 $21.88 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $21.88 | $28.84 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $12.30 | Professional | 26 · Professional part | $6.31 | $8.32 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $31.62 | Professional | TC · Technical part | $15.49 | $20.42 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $93.33 | Facility | None | $31.62 | $46.77 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.44 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $23.44 | $40.74 | $52.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.12 Typical High $13.18 | Professional | 26 · Professional part | $6.17 | $9.12 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $52.48 Typical High $70.79 | Professional | 50 · Both sides | $37.15 | $52.48 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $30.20 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $131.83 | Facility | None | $40.74 | $72.44 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $35.48 Typical High $58.88 | Professional | None (both parts) | $32.36 | $35.48 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.77 Typical High $14.79 | Professional | 26 · Professional part | $9.12 | $9.77 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $25.12 | $45.71 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $41.69 | Professional | None (both parts) | $27.54 | $32.36 | $41.69 |
Health New England Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $512.86 | Facility | None | $199.53 | $309.03 | $512.86 |
Health New England Setting Professional Modifier None (both parts) Typical Low $10.72 Median $15.49 Typical High $23.44 | Professional | None (both parts) | $10.72 | $15.49 | $23.44 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $37.15 Typical High $56.23 | Professional | None (both parts) | $23.44 | $37.15 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $10.00 Typical High $15.14 | Professional | 26 · Professional part | $6.17 | $10.00 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $26.92 | $41.69 |
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 $10.00 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $10.00 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $4.07 | $5.75 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $22.91 Typical High $22.91 | Professional | FX · Film X-ray | $16.22 | $22.91 | $22.91 |
Where Connecticut sits
The same service costs 3.7 times more in Alaska 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
$34.67
AK $83.18FL $22.39
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.