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 $158.49 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $158.49 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $23.44 | $33.88 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $281.84 Typical High $602.56 | Facility | None | $138.04 | $281.84 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $331.13 Typical High $575.44 | Professional | None (both parts) | $138.04 | $331.13 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $39.81 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $107.15 | $316.23 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $213.80 Typical High $562.34 | Facility | None | $120.23 | $213.80 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $104.71 | $112.20 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $38.02 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $74.13 | $117.49 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $85.11 | $107.15 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $102.33 | $275.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $39.81 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $67.61 | $257.04 | $467.74 |
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 $79.43 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $79.43 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $31.62 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $162.18 | $208.93 | $208.93 |
Where Connecticut sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 5th of 51
$295
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.