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 $128.82 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $128.82 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $60.26 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $81.28 | $120.23 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $1,174.90 Typical High $2,398.83 | Facility | None | $281.84 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $151.36 | $213.80 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $309.03 | Professional | TC · Technical part | $69.18 | $100.00 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $389.05 Typical High $4,897.79 | Facility | None | $177.83 | $389.05 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $218.78 | $501.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $70.79 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $104.71 | $426.58 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $181.97 | $257.04 | $549.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $165.96 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $144.54 | $239.88 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $107.15 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $69.18 | $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 $64.57 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $36.31 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | FX · Film X-ray | $102.33 | $144.54 | $144.54 |
Where Connecticut sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 26th of 51
$219
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.