How much rates vary
Facilitymedian $224 · 10th to 90th $107 to $513Professionalmedian $110 · 10th to 90th $78 to $158
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 $74.13 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $74.13 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $67.61 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $512.86 | Facility | None | $107.15 | $251.19 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $77.62 | $97.72 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $31.62 | $39.81 | $57.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | 50 · Both sides | $117.49 | $144.54 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $45.71 | $61.66 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $194.98 Typical High $363.08 | Facility | None | $112.20 | $194.98 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $104.71 | $120.23 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $43.65 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $75.86 | $112.20 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $85.11 | $100.00 | $123.03 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $31.62 | $38.02 | $44.67 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $53.70 | $64.57 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $79.43 | $109.65 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $39.81 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $67.61 | $128.82 |
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 $37.15 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $37.15 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $14.79 | $20.89 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $60.26 | $85.11 | $85.11 |
Where Connecticut sits
The same service costs 3.7 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· 21st of 51
$110
AK $229TX $61.66
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.