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 $147.91 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $147.91 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $53.70 | $69.18 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $87.10 | $138.04 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $1,174.90 Typical High $2,398.83 | Facility | None | $323.59 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $154.88 | $229.09 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $117.49 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $363.08 | Professional | TC · Technical part | $72.44 | $104.71 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $398.11 Typical High $4,897.79 | Facility | None | $190.55 | $398.11 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $239.88 | $562.34 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $81.28 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $107.15 | $446.68 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $218.78 | $316.23 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None (both parts) | $229.09 | $229.09 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $154.88 | $257.04 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $117.49 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $70.79 | $117.49 | $223.87 |
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 $72.44 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $41.69 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $117.49 | $165.96 | $165.96 |
Where Connecticut sits
The same service costs 5.1 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
$240
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.