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 $69.18 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $69.18 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $28.84 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $69.18 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $251.19 | Facility | None | $112.20 | $158.49 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $63.10 | $85.11 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $35.48 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $107.15 | Professional | TC · Technical part | $33.11 | $46.77 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $151.36 Typical High $354.81 | Facility | None | $83.18 | $151.36 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $77.62 | $100.00 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $31.62 | $33.11 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $64.57 | $100.00 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $87.10 | $102.33 | $117.49 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $25.12 | $30.90 | $40.74 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $39.81 | $61.66 | $87.10 |
Health New England Setting Facility Modifier None Typical Low $263.03 Median $275.42 Typical High $691.83 | Facility | None | $263.03 | $275.42 | $691.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $41.69 Median $85.11 Typical High $229.09 | Professional | None (both parts) | $41.69 | $85.11 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $173.78 | Professional | None (both parts) | $66.07 | $95.50 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $31.62 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $54.95 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $54.95 | $117.49 |
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 $33.88 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $33.88 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $54.95 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 4.1 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· 24th of 51
$87.10
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.