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 $87.10 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $87.10 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $66.07 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $501.19 | Facility | None | $144.54 | $245.47 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $85.11 | $141.25 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $25.12 | $34.67 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $112.20 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $467.74 Typical High $602.56 | Facility | None | $199.53 | $467.74 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $138.04 | $165.96 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $33.11 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $131.83 | $162.18 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $107.15 | $125.89 | $177.83 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $30.90 | $37.15 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $107.15 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $104.71 | $151.36 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $20.42 | $27.54 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $120.23 | $194.98 |
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 $43.65 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $17.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $70.79 | $97.72 | $97.72 |
Where Connecticut sits
The same service costs 4.0 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· 16th of 51
$148
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.