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 $89.13 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $89.13 | $117.49 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $39.81 | Professional | 26 · Professional part | $32.36 | $37.15 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $56.23 | $79.43 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $371.54 | Facility | None | $165.96 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $131.83 Typical High $302.00 | Professional | None (both parts) | $95.50 | $131.83 | $302.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $51.29 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $58.88 | $81.28 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $309.03 Typical High $416.87 | Facility | None | $147.91 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $125.89 | $144.54 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $44.67 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $100.00 | $125.89 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $112.20 | $131.83 | $158.49 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $43.65 | $54.95 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $83.18 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $77.62 | $112.20 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $36.31 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $72.44 | $112.20 |
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 $41.69 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $41.69 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $16.60 | $23.44 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $93.33 Typical High $93.33 | Professional | FX · Film X-ray | $67.61 | $93.33 | $93.33 |
Where Connecticut sits
The same service costs 4.5 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· 18th of 51
$132
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.