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 $74.13 Median $97.72 Typical High $144.54 | Professional | None (both parts) | $74.13 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $25.12 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $72.44 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $154.88 Typical High $223.87 | Facility | None | $109.65 | $154.88 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $87.10 | $123.03 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $33.11 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $407.38 | Facility | None | $141.25 | $199.53 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $213.80 | Professional | None (both parts) | $83.18 | $102.33 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $28.84 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $66.07 | $151.36 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $89.13 | $104.71 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $524.81 | Facility | None | $371.54 | $467.74 | $524.81 |
Health New England Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $40.74 | $43.65 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $79.43 | $120.23 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $52.48 | $91.20 | $138.04 |
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 $34.67 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $14.13 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $77.62 Typical High $77.62 | Professional | FX · Film X-ray | $56.23 | $77.62 | $77.62 |
Where Connecticut sits
The same service costs 3.8 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
$115
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.