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 $63.10 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $63.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $13.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $50.12 | $70.79 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $229.09 | Facility | None | $107.15 | $165.96 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $72.44 | $128.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.12 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $25.12 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $109.65 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $524.81 | Facility | None | $144.54 | $218.78 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $75.86 | $107.15 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $22.91 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $75.86 | $151.36 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $85.11 | $95.50 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $186.21 | Professional | None (both parts) | $72.44 | $114.82 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $14.79 | $23.44 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $89.13 | $158.49 |
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 $31.62 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $31.62 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $18.20 Typical High $18.20 | Professional | 53 · Discontinued | $12.59 | $18.20 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $50.12 | $72.44 | $72.44 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 17th of 51
$123
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.