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 $123.03 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $123.03 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $52.48 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $100.00 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $1,174.90 Typical High $2,398.83 | Facility | None | $234.42 | $1,174.90 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $138.04 | $190.55 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $89.13 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $104.71 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $104.71 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $2,238.72 | Facility | None | $194.98 | $389.05 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $199.53 | $489.78 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $87.10 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $109.65 | $407.38 | $645.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $177.83 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $177.83 | $263.03 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $131.83 | $218.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $89.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $120.23 | $218.78 |
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 $61.66 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $34.67 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $97.72 | $138.04 | $138.04 |
Where Connecticut sits
The same service costs 4.5 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· 28th of 51
$209
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.