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 $60.26 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $60.26 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $31.62 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $31.62 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $53.70 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $165.96 Typical High $331.13 | Facility | None | $85.11 | $165.96 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $64.57 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $32.36 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $77.62 | Professional | TC · Technical part | $42.66 | $51.29 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $181.97 Typical High $309.03 | Facility | None | $87.10 | $181.97 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $83.18 | $120.23 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $36.31 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $83.18 | $109.65 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $64.57 | $79.43 | $120.23 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $32.36 | $41.69 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $38.90 | $51.29 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $134.90 Median $263.03 Typical High $562.34 | Facility | None | $134.90 | $263.03 | $562.34 |
Health New England Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $125.89 | Professional | None (both parts) | $45.71 | $57.54 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $64.57 | $91.20 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $33.11 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $38.90 | $58.88 | $100.00 |
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 $30.20 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $30.20 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $47.86 | $67.61 | $67.61 |
Where Connecticut sits
The same service costs 4.4 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· 31st of 51
$85.11
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.