How much rates vary
Facilitymedian $155 · 10th to 90th $74 to $355Professionalmedian $71 · 10th to 90th $47 to $117
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 $87.10 Typical High $87.10 | Professional | None (both parts) | $58.88 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $23.44 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $32.36 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $173.78 Typical High $354.81 | Facility | None | $85.11 | $173.78 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $44.67 | $67.61 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $30.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $36.31 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $112.20 Typical High $275.42 | Facility | None | $64.57 | $112.20 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $69.18 | $97.72 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $35.48 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $79.43 | Professional | TC · Technical part | $33.88 | $57.54 | $79.43 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | None (both parts) | $67.61 | $83.18 | $100.00 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $30.90 | $38.02 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $43.65 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $42.66 | $66.07 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $19.95 | $28.18 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $22.91 | $38.90 | $72.44 |
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 $27.54 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $17.38 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | FX · Film X-ray | $48.98 | $69.18 | $69.18 |
Where Connecticut sits
The same service costs 4.5 times more in Alaska than in Utah. 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· 17th of 51
$72.44
AK $141UT $31.62
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.