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 $95.50 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $60.26 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $288.40 | Facility | None | $102.33 | $151.36 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $72.44 | $125.89 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $30.20 | $40.74 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $74.13 | $87.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $275.42 Typical High $346.74 | Facility | None | $117.49 | $275.42 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $117.49 | $120.23 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $43.65 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $77.62 | $128.82 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $144.54 | Professional | None (both parts) | $104.71 | $114.82 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $79.43 | $134.90 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $26.30 | $44.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $93.33 | $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 $47.86 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.50 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $77.62 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 19th of 51
$123
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.