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 $102.33 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $102.33 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $48.98 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $74.13 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $602.56 | Facility | None | $223.87 | $338.84 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $134.90 | $223.87 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $28.84 | $38.90 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $123.03 | $173.78 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $562.34 Typical High $724.44 | Facility | None | $239.88 | $562.34 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $154.88 | $213.80 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $54.95 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $158.49 | $208.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $263.03 | Professional | None (both parts) | $165.96 | $194.98 | $263.03 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $42.66 | $60.26 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $125.89 | $165.96 | $288.40 |
Health New England Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None (both parts) | $38.02 | $38.02 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $144.54 | $194.98 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $44.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $107.15 | $147.91 | $234.42 |
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 $48.98 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $48.98 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $19.50 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $85.11 | $151.36 | $151.36 |
Where Connecticut sits
The same service costs 4.2 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· 10th of 51
$214
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.