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 $34.67 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $34.67 | $41.69 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $12.88 | $17.38 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $24.55 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $117.49 Typical High $199.53 | Facility | None | $56.23 | $117.49 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $58.88 Typical High $134.90 | Professional | None (both parts) | $28.84 | $58.88 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $9.77 | $20.89 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $37.15 Typical High $95.50 | Professional | TC · Technical part | $19.05 | $37.15 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $125.89 Typical High $426.58 | Facility | None | $58.88 | $125.89 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $56.23 | $72.44 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $29.51 | Professional | 26 · Professional part | $18.62 | $19.50 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $37.15 | $53.70 | $66.07 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $95.50 | Professional | None (both parts) | $50.12 | $70.79 | $95.50 |
Health New England Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.88 Typical High $37.15 | Professional | None (both parts) | $21.38 | $21.88 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $35.48 | $53.70 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $20.42 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $20.42 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $33.11 | $54.95 |
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 $14.45 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $8.32 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $23.44 | $33.11 | $33.11 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in New York. 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· 25th of 51
$58.88
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.