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 $109.65 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $109.65 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $18.62 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $125.89 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $407.38 | Facility | None | $199.53 | $295.12 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $371.54 | Professional | None (both parts) | $123.03 | $208.93 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $31.62 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $177.83 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $812.83 | Facility | None | $199.53 | $380.19 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $128.82 | $154.88 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $29.51 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $123.03 | $281.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $134.90 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $134.90 | $158.49 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $120.23 | $190.55 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $31.62 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $100.00 | $162.18 | $263.03 |
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 $54.95 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $87.10 | $123.03 | $123.03 |
Where Connecticut sits
The same service costs 3.8 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· 19th 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.