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 $56.23 Median $66.07 Typical High $218.78 | Professional | None (both parts) | $56.23 | $66.07 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $34.67 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $31.62 Typical High $173.78 | Professional | TC · Technical part | $22.91 | $31.62 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $213.80 Typical High $302.00 | Facility | None | $72.44 | $213.80 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $51.29 Median $77.62 Typical High $281.84 | Professional | None (both parts) | $51.29 | $77.62 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $38.02 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $46.77 Typical High $234.42 | Professional | TC · Technical part | $30.20 | $46.77 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $446.68 | Facility | None | $107.15 | $131.83 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $85.11 | $158.49 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $40.74 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $41.69 | $117.49 | $208.93 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $91.20 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $91.20 | $218.78 | $416.87 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $51.29 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $51.29 | $72.44 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $39.81 | $165.96 | $234.42 |
Health New England Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $2,344.23 | Facility | None | $245.47 | $331.13 | $2,344.23 |
Health New England Setting Professional Modifier None (both parts) Typical Low $48.98 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $48.98 | $61.66 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $50.12 | $93.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $39.81 Typical High $95.50 | Professional | TC · Technical part | $22.91 | $39.81 | $95.50 |
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 $23.44 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $23.44 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $9.33 | $13.18 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.02 Median $52.48 Typical High $52.48 | Professional | FX · Film X-ray | $38.02 | $52.48 | $52.48 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$91.20
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.