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 $125.89 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $125.89 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $58.88 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $117.49 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $1,174.90 Typical High $2,398.83 | Facility | None | $275.42 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $138.04 | $204.17 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $69.18 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $89.13 | $134.90 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $5,128.61 | Facility | None | $251.19 | $446.68 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $208.93 | $489.78 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $70.79 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $138.04 | $426.58 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $177.83 | $269.15 | $549.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $131.83 | $229.09 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $147.91 | $245.47 |
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 $63.10 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $35.48 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $141.25 Typical High $141.25 | Professional | FX · Film X-ray | $100.00 | $141.25 | $141.25 |
Where Connecticut sits
The same service costs 4.2 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· 27th of 51
$214
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.