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 $107.15 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $107.15 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $60.26 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $93.33 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $2,398.83 | Facility | None | $218.78 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $380.19 | Professional | None (both parts) | $120.23 | $173.78 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $72.44 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $100.00 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $380.19 Typical High $5,128.61 | Facility | None | $181.97 | $380.19 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $173.78 | $467.74 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $70.79 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $102.33 | $389.05 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $158.49 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $158.49 | $251.19 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $114.82 | $190.55 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $70.79 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $66.07 | $112.20 | $208.93 |
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 $53.70 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $87.10 | $123.03 | $123.03 |
Where Connecticut sits
The same service costs 4.9 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· 29th of 51
$182
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.