How much rates vary
Facilitymedian $12 · 10th to 90th $8 to $26Professionalmedian $16 · 10th to 90th $10 to $23
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 $11.75 Median $16.60 Typical High $17.78 | Professional | None (both parts) | $11.75 | $16.60 | $17.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $10.72 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $6.03 Typical High $6.17 | Professional | TC · Technical part | $4.17 | $6.03 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $11.75 Typical High $19.50 | Facility | None | $6.46 | $11.75 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.12 Median $14.13 Typical High $21.88 | Professional | None (both parts) | $9.12 | $14.13 | $21.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $10.23 | $14.45 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $5.25 Typical High $7.59 | Professional | TC · Technical part | $3.63 | $5.25 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $12.30 Typical High $58.88 | Facility | None | $8.71 | $12.30 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.98 Typical High $23.99 | Professional | None (both parts) | $14.13 | $16.98 | $23.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $11.75 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $4.07 Typical High $8.32 | Professional | TC · Technical part | $2.82 | $4.07 | $8.32 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.49 Typical High $18.62 | Professional | None (both parts) | $13.18 | $15.49 | $18.62 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $12.59 | Professional | 26 · Professional part | $8.91 | $10.47 | $12.59 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.25 Typical High $6.17 | Professional | TC · Technical part | $4.37 | $5.25 | $6.17 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $14.79 Typical High $28.18 | Professional | None (both parts) | $9.77 | $14.79 | $28.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $17.78 | Professional | 26 · Professional part | $7.08 | $9.77 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $4.79 Typical High $10.72 | Professional | TC · Technical part | $3.16 | $4.79 | $10.72 |
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 $5.75 Median $8.32 Typical High $8.32 | Professional | 52 · Reduced service | $5.75 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $3.31 Typical High $3.31 | Professional | 53 · Discontinued | $2.29 | $3.31 | $3.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $9.33 Median $13.49 Typical High $13.49 | Professional | FX · Film X-ray | $9.33 | $13.49 | $13.49 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$15.49
AK $35.48FL $9.12
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.