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 $120.23 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $120.23 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $60.26 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $109.65 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $109.65 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $1,174.90 Typical High $2,398.83 | Facility | None | $257.04 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $125.89 | $190.55 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $70.79 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $120.23 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $2,238.72 | Facility | None | $223.87 | $407.38 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $707.95 | Professional | None (both parts) | $194.98 | $489.78 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $69.18 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $426.58 Typical High $645.65 | Professional | TC · Technical part | $123.03 | $426.58 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $173.78 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $173.78 | $257.04 | $549.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $125.89 | $213.80 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $70.79 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $134.90 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $134.90 | $234.42 |
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 $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $95.50 | $134.90 | $134.90 |
Where Connecticut sits
The same service costs 4.3 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
$200
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.