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 $134.90 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $134.90 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $43.65 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $1,174.90 Typical High $2,398.83 | Facility | None | $302.00 | $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 $50.12 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $72.44 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $302.00 | Professional | TC · Technical part | $100.00 | $141.25 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $4,897.79 | Facility | None | $257.04 | $478.63 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $223.87 | $512.86 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $69.18 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $147.91 | $446.68 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $186.21 | $257.04 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $537.03 | Professional | None (both parts) | $144.54 | $245.47 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $44.67 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $162.18 | $251.19 |
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 $67.61 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $107.15 | $151.36 | $151.36 |
Where Connecticut sits
The same service costs 4.4 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· 28th of 51
$229
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.