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 $109.65 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $109.65 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $60.26 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $60.26 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $93.33 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $2,398.83 | Facility | None | $218.78 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $371.54 | Professional | None (both parts) | $95.50 | $144.54 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $74.13 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $263.03 | Professional | TC · Technical part | $69.18 | $95.50 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $371.54 Typical High $2,238.72 | Facility | None | $173.78 | $371.54 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $173.78 | $457.09 | $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 $100.00 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $100.00 | $389.05 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $151.36 | $239.88 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $114.82 | $190.55 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $72.44 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $109.65 | $204.17 |
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 $53.70 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $87.10 | $123.03 | $123.03 |
Where Connecticut sits
The same service costs 4.8 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· 32nd of 51
$170
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.