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 $131.83 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $131.83 | $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 $87.10 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $125.89 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $1,174.90 Typical High $2,398.83 | Facility | None | $295.12 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $165.96 | $234.42 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $53.70 | $75.86 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $398.11 | Professional | TC · Technical part | $109.65 | $158.49 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $512.86 Typical High $3,090.30 | Facility | None | $288.40 | $512.86 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $234.42 | $512.86 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $74.13 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $446.68 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $199.53 | $281.84 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $144.54 | $245.47 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $165.96 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $165.96 | $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 $66.07 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $26.30 | $38.02 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $104.71 | $151.36 | $151.36 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 26th 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.