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 $58.88 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $58.88 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $56.23 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $44.67 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $44.67 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $213.80 Typical High $436.52 | Facility | None | $104.71 | $213.80 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $69.18 Typical High $154.88 | Professional | None (both parts) | $50.12 | $69.18 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $30.90 | $42.66 | $81.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $102.33 Typical High $208.93 | Professional | 50 · Both sides | $74.13 | $102.33 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $63.10 | Professional | TC · Technical part | $19.05 | $26.30 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $93.33 Typical High $323.59 | Facility | None | $46.77 | $93.33 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $72.44 | $114.82 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $61.66 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $25.12 | $69.18 | $93.33 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $81.28 | $104.71 | $213.80 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $48.98 | $67.61 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $40.74 | $57.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $46.77 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $42.66 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $66.07 | Professional | TC · Technical part | $19.50 | $30.90 | $66.07 |
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 $30.20 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $30.20 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $12.02 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $56.23 | $81.28 | $81.28 |
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· 19th of 51
$85.11
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.