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 $93.33 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $93.33 | $275.42 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $14.79 | $18.62 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $275.42 Typical High $501.19 | Professional | TC · Technical part | $66.07 | $275.42 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $575.44 | Facility | None | $234.42 | $446.68 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $575.44 | Professional | None (both parts) | $83.18 | $114.82 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $16.60 | $30.90 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $524.81 | Professional | TC · Technical part | $69.18 | $81.28 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $549.54 | Facility | None | $138.04 | $245.47 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $107.15 | $144.54 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $22.91 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $123.03 | $177.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $112.20 | $141.25 | $169.82 |
Health New England Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $33.88 | $33.88 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $478.63 | Professional | None (both parts) | $66.07 | $123.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $17.78 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $85.11 Typical High $537.03 | Professional | TC · Technical part | $43.65 | $85.11 | $537.03 |
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 $38.90 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $38.90 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $15.49 | $102.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $407.38 Typical High $407.38 | Professional | FX · Film X-ray | $177.83 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 5.4 times more in New York than in Texas. 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
$126
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.