How much rates vary
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 $40.74 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $40.74 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $12.88 | $17.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $27.54 | $32.36 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $141.25 | Facility | None | $63.10 | $104.71 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $35.48 | $67.61 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $10.00 | $20.89 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $48.98 Typical High $89.13 | Professional | TC · Technical part | $25.12 | $48.98 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $117.49 Typical High $223.87 | Facility | None | $69.18 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $53.70 | $60.26 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $29.51 | Professional | 26 · Professional part | $18.62 | $19.05 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $39.81 | $75.86 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $47.86 | $56.23 | $72.44 |
Health New England Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.12 Typical High $83.18 | Professional | None (both parts) | $21.88 | $25.12 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $97.72 | Professional | None (both parts) | $40.74 | $63.10 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $20.42 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $26.30 | $40.74 | $69.18 |
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 $17.38 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $39.81 Typical High $39.81 | Professional | FX · Film X-ray | $27.54 | $39.81 | $39.81 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 22nd of 51
$60.26
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.