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 $102.33 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $102.33 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $37.15 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $74.13 | $100.00 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $288.40 | Facility | None | $131.83 | $190.55 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $114.82 | $141.25 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $30.90 | $38.02 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $85.11 | $104.71 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $263.03 Typical High $537.03 | Facility | None | $107.15 | $263.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $112.20 | $158.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $42.66 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $93.33 | $190.55 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $123.03 | $144.54 | $173.78 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $38.90 | $48.98 |
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 $165.96 Median $263.03 Typical High $691.83 | Facility | None | $165.96 | $263.03 | $691.83 |
Health New England Setting Professional Modifier None (both parts) Typical Low $45.71 Median $67.61 Typical High $257.04 | Professional | None (both parts) | $45.71 | $67.61 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $269.15 | Professional | None (both parts) | $95.50 | $147.91 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $72.44 | Professional | 26 · Professional part | $28.84 | $39.81 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $70.79 | $104.71 | $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 $48.98 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $69.18 | $69.18 |
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 $79.43 Median $109.65 Typical High $109.65 | Professional | FX · Film X-ray | $79.43 | $109.65 | $109.65 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska 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· 22nd of 51
$141
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.