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 $63.10 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $63.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $41.69 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $295.12 Typical High $602.56 | Facility | None | $123.03 | $295.12 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $81.28 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $33.88 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $107.15 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $549.54 Typical High $660.69 | Facility | None | $239.88 | $549.54 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $97.72 | $128.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $42.66 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $85.11 | $158.49 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $100.00 | $117.49 | $186.21 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $33.11 | $46.77 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $93.33 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $123.03 | $169.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $134.90 | $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 $31.62 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $31.62 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $12.59 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $52.48 | $91.20 | $91.20 |
Where Connecticut sits
The same service costs 6.6 times more in Nebraska 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· 23rd of 51
$129
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.