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 $97.72 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $97.72 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $64.57 | $91.20 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $575.44 Typical High $1,148.15 | Facility | None | $147.91 | $575.44 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $97.72 | $165.96 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $53.70 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $131.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,071.52 Typical High $1,288.25 | Facility | None | $426.58 | $1,071.52 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $363.08 | Professional | None (both parts) | $151.36 | $162.18 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $53.70 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $109.65 | $302.00 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $125.89 | $147.91 | $288.40 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $41.69 | $51.29 | $58.88 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $83.18 | $117.49 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $218.78 | $295.12 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $33.11 | $44.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $251.19 | $398.11 |
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 $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $81.28 | $109.65 | $109.65 |
Where Connecticut sits
The same service costs 5.2 times more in North Dakota 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
$186
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.