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 $91.20 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $91.20 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $37.15 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $91.20 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $263.03 | Facility | None | $91.20 | $154.88 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $100.00 | $151.36 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $208.93 | Professional | TC · Technical part | $61.66 | $85.11 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $691.83 | Facility | None | $123.03 | $213.80 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $85.11 | $128.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $81.28 | Professional | 26 · Professional part | $40.74 | $43.65 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $45.71 | $69.18 | $147.91 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $104.71 | $128.82 | $186.21 |
Health New England Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $64.57 | $64.57 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $213.80 | Professional | None (both parts) | $89.13 | $138.04 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $47.86 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $97.72 | $147.91 |
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 $45.71 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $72.44 | $102.33 | $102.33 |
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· 26th of 51
$129
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.