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 $23.99 Median $33.88 Typical High $33.88 | Professional | None (both parts) | $23.99 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $11.48 | Professional | 26 · Professional part | $8.13 | $11.48 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $16.22 | $22.39 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $54.95 Typical High $102.33 | Facility | None | $37.15 | $54.95 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.39 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $22.39 | $39.81 | $61.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $12.88 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $33.11 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $79.43 Typical High $114.82 | Facility | None | $38.02 | $79.43 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $58.88 | Professional | None (both parts) | $34.67 | $39.81 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $13.18 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $22.91 | $26.30 | $38.90 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $30.90 | $37.15 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $25.12 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $8.13 | $13.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $28.84 | $47.86 |
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 $12.02 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $4.79 | $6.76 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $19.50 | $26.92 | $26.92 |
Where Connecticut sits
The same service costs 4.7 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· 34th of 51
$38.90
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.