How much rates vary
Facilitymedian $562 · 10th to 90th $186 to $2,570Professionalmedian $170 · 10th to 90th $110 to $661
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 $213.80 | Professional | None (both parts) | $109.65 | $154.88 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $58.88 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $95.50 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $1,174.90 Typical High $2,398.83 | Facility | None | $229.09 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $123.03 | $169.82 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $69.18 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $100.00 | $263.03 |
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 $177.83 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $177.83 | $457.09 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $70.79 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $102.33 | $398.11 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $162.18 | $251.19 | $537.03 |
Health New England Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
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 $44.67 Median $70.79 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $70.79 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $112.20 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $112.20 | $208.93 |
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 $54.95 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $77.62 | $77.62 |
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 4.9 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· 31st of 51
$174
AK $372UT $75.86
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.