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 $117.49 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $117.49 | $165.96 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $97.72 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $1,174.90 Typical High $2,398.83 | Facility | None | $234.42 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $398.11 | Professional | None (both parts) | $128.82 | $181.97 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $81.28 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $72.44 | $100.00 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $4,897.79 | Facility | None | $186.21 | $380.19 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $190.55 | $478.63 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $75.86 | $79.43 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $107.15 | $398.11 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $173.78 | $251.19 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $125.89 | $208.93 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $51.29 | $81.28 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $114.82 | $218.78 |
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 $58.88 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $33.11 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $93.33 | $131.83 | $131.83 |
Where Connecticut sits
The same service costs 5.4 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· 30th of 51
$195
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.