How much rates vary
Facilitymedian $78 · 10th to 90th $42 to $234Professionalmedian $40 · 10th to 90th $17 to $58
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 $25.70 Median $32.36 Typical High $53.70 | Professional | None (both parts) | $25.70 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $38.90 | Professional | TC · Technical part | $18.62 | $23.44 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $102.33 | Facility | None | $36.31 | $53.70 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $30.90 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.00 Typical High $14.13 | Professional | 26 · Professional part | $6.76 | $10.00 | $14.13 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $61.66 Typical High $81.28 | Professional | 50 · Both sides | $45.71 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $42.66 | Professional | TC · Technical part | $23.44 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $169.82 | Facility | None | $48.98 | $83.18 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $70.79 | Professional | None (both parts) | $34.67 | $39.81 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.72 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.72 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $56.23 | Professional | TC · Technical part | $24.55 | $27.54 | $56.23 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $31.62 | $37.15 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $263.03 | Facility | None | $213.80 | $251.19 | $263.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.98 Typical High $57.54 | Professional | None (both parts) | $13.18 | $16.98 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $27.54 | $41.69 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $6.76 | $10.72 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $30.20 | $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 $11.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $11.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $18.20 | $25.70 | $25.70 |
Where Connecticut sits
The same service costs 15.1 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· 25th of 51
$39.81
VT $407FL $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.