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 $114.82 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $114.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $30.20 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $117.49 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $501.19 | Facility | None | $194.98 | $288.40 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $117.49 | $190.55 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $48.98 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $181.97 | Professional | TC · Technical part | $104.71 | $147.91 | $181.97 |
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 $169.82 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $169.82 | $177.83 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $44.67 | $46.77 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $134.90 | $190.55 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $144.54 | $154.88 | $204.17 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $44.67 | $52.48 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $131.83 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $114.82 | $162.18 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $28.84 | $39.81 | $60.26 |
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 $57.54 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $57.54 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $22.91 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $93.33 | $128.82 | $128.82 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 15th 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.