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 $50.12 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $50.12 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $33.88 | Professional | 26 · Professional part | $21.38 | $28.18 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $27.54 | $32.36 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $141.25 Typical High $199.53 | Facility | None | $75.86 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $52.48 | $83.18 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $69.18 | Professional | 26 · Professional part | $23.44 | $33.11 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $48.98 Typical High $93.33 | Professional | TC · Technical part | $26.92 | $48.98 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $537.03 | Facility | None | $74.13 | $154.88 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $123.03 | Professional | None (both parts) | $77.62 | $87.10 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $33.11 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $53.70 | $72.44 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $60.26 | $75.86 | $97.72 |
Health New England Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | None (both parts) | $34.67 | $34.67 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $52.48 | $77.62 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $33.88 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $70.79 | Professional | TC · Technical part | $29.51 | $41.69 | $70.79 |
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 $21.38 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $21.38 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $8.51 | $12.02 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $33.88 | $48.98 | $48.98 |
Where Connecticut sits
The same service costs 3.8 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
$81.28
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.