How much rates vary
Facilitymedian $195 · 10th to 90th $112 to $501Professionalmedian $107 · 10th to 90th $63 to $195
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 $66.07 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $66.07 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $15.49 | $20.42 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $102.33 | Professional | TC · Technical part | $50.12 | $63.10 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $181.97 Typical High $251.19 | Facility | None | $112.20 | $181.97 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $70.79 | $125.89 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $12.30 | $24.55 | $47.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $97.72 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $512.86 | Facility | None | $128.82 | $234.42 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $85.11 | $100.00 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $23.44 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $77.62 | $141.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $77.62 | $93.33 | $128.82 |
Health New England Setting Facility Modifier None Typical Low $588.84 Median $1,862.09 Typical High $1,949.84 | Facility | None | $588.84 | $1,862.09 | $1,949.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $12.88 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $12.88 | $34.67 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $70.79 | $107.15 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $15.14 | $24.55 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $151.36 | Professional | TC · Technical part | $56.23 | $85.11 | $151.36 |
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 $29.51 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $29.51 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $12.02 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $66.07 Typical High $66.07 | Professional | FX · Film X-ray | $47.86 | $66.07 | $66.07 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 22nd of 51
$110
AK $263UT $66.07
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.