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 $109.65 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $109.65 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $134.90 | Professional | TC · Technical part | $72.44 | $93.33 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $371.54 | Facility | None | $165.96 | $218.78 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $114.82 | $154.88 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $48.98 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $107.15 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $269.15 Typical High $512.86 | Facility | None | $138.04 | $269.15 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $141.25 | $151.36 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $46.77 | $50.12 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $102.33 | $177.83 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $138.04 | $162.18 | $177.83 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $44.67 | $57.54 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $112.20 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $588.84 | Facility | None | $229.09 | $263.03 | $588.84 |
Health New England Setting Professional Modifier None (both parts) Typical Low $60.26 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $60.26 | $162.18 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $102.33 | $151.36 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $69.18 | $102.33 | $181.97 |
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 $48.98 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $48.98 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.50 | $27.54 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $77.62 | $109.65 | $109.65 |
Where Connecticut sits
The same service costs 3.8 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
$148
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.