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 $95.50 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $95.50 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $30.20 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $100.00 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $269.15 | Facility | None | $134.90 | $199.53 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $112.20 | $144.54 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $26.30 | $34.67 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $85.11 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $257.04 Typical High $537.03 | Facility | None | $123.03 | $257.04 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $100.00 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $32.36 | $33.88 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $112.20 | $181.97 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $117.49 | $128.82 | $165.96 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $31.62 | $36.31 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $112.20 | $128.82 |
Health New England Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $371.54 | Facility | None | $245.47 | $281.84 | $371.54 |
Health New England Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $416.87 | Professional | None (both parts) | $43.65 | $120.23 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $91.20 | $128.82 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $31.62 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $107.15 | $194.98 |
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 $46.77 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $46.77 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $26.30 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $74.13 | $104.71 | $104.71 |
Where Connecticut sits
The same service costs 4.1 times more in Minnesota 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
$132
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.