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 $109.65 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $109.65 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $37.15 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $125.89 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $323.59 | Facility | None | $147.91 | $204.17 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $134.90 | $177.83 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $100.00 | $123.03 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $302.00 Typical High $602.56 | Facility | None | $199.53 | $302.00 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $123.03 | $162.18 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $43.65 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $239.88 | Professional | TC · Technical part | $81.28 | $102.33 | $239.88 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $147.91 | $177.83 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $776.25 | Facility | None | $467.74 | $758.58 | $776.25 |
Health New England Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $69.18 | $81.28 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $123.03 | $194.98 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $33.88 | $54.95 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $85.11 | $141.25 | $208.93 |
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 $52.48 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $52.48 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $20.89 | $32.36 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $95.50 | $131.83 | $131.83 |
Where Connecticut sits
The same service costs 4.3 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· 23rd of 51
$178
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.