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 $83.18 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $83.18 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $32.36 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $58.88 | $66.07 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $269.15 | Facility | None | $109.65 | $158.49 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $169.82 | Professional | None (both parts) | $85.11 | $117.49 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $26.92 | $33.88 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $398.11 | Facility | None | $100.00 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $104.71 | $117.49 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $38.02 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $85.11 | $158.49 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $144.54 | Professional | None (both parts) | $114.82 | $128.82 | $144.54 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $34.67 | $43.65 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $120.23 | Professional | TC · Technical part | $83.18 | $100.00 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $81.28 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $34.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $58.88 | $89.13 | $165.96 |
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 $41.69 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $41.69 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $16.60 | $19.95 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $67.61 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 4.2 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· 24th of 51
$117
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.