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 $131.83 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $131.83 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $338.84 | Facility | None | $151.36 | $208.93 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $141.25 | $154.88 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $138.04 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $154.88 Typical High $204.17 | Professional | TC · Technical part | $58.88 | $154.88 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $302.00 Typical High $380.19 | Facility | None | $112.20 | $302.00 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $151.36 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $213.80 | Professional | 26 · Professional part | $120.23 | $128.82 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $85.11 | $141.25 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $162.18 | $190.55 | $239.88 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $97.72 | $120.23 | $158.49 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $64.57 | $79.43 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $147.91 | $186.21 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $89.13 | $104.71 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $77.62 | $147.91 |
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 $66.07 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $26.30 | $37.15 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $112.20 | $147.91 | $147.91 |
Where Connecticut sits
The same service costs 4.2 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· 25th of 51
$186
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.