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 $114.82 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $114.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $109.65 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $1,174.90 Typical High $2,398.83 | Facility | None | $239.88 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $562.34 | Professional | None (both parts) | $123.03 | $177.83 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $72.44 | $134.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $436.52 | Professional | TC · Technical part | $75.86 | $104.71 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $2,238.72 | Facility | None | $199.53 | $416.87 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $190.55 | $512.86 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $72.44 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $446.68 Typical High $645.65 | Professional | TC · Technical part | $112.20 | $446.68 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $165.96 | $281.84 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $123.03 | $208.93 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $74.13 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $123.03 | $229.09 |
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 $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $21.88 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $93.33 | $138.04 | $138.04 |
Where Connecticut sits
The same service costs 4.9 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· 27th of 51
$191
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.