How much rates vary
Facilitymedian $162 · 10th to 90th $112 to $288Professionalmedian $102 · 10th to 90th $69 to $158
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 $75.86 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $75.86 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $35.48 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $45.71 | $58.88 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $269.15 | Facility | None | $112.20 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $79.43 | $104.71 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $51.29 | $66.07 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $173.78 Typical High $323.59 | Facility | None | $112.20 | $173.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $97.72 | $114.82 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $40.74 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $67.61 | $114.82 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $89.13 | $104.71 | $134.90 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $28.84 | $54.95 | $74.13 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $85.11 | Professional | TC · Technical part | $60.26 | $74.13 | $85.11 |
Health New England Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $562.34 | Facility | None | $151.36 | $154.88 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $144.54 | Professional | None (both parts) | $47.86 | $64.57 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $74.13 | $104.71 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $27.54 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $45.71 | $63.10 | $114.82 |
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 $33.11 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $33.11 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $13.18 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $53.70 | $75.86 | $75.86 |
Where Connecticut sits
The same service costs 3.6 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· 20th of 51
$105
AK $245TX $67.61
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.