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 $100.00 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $100.00 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $72.44 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $57.54 | Professional | TC · Technical part | $26.92 | $26.92 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $524.81 Typical High $1,047.13 | Facility | None | $61.66 | $524.81 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $89.13 | $120.23 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $79.43 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $26.30 | $38.90 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $446.68 Typical High $1,122.02 | Facility | None | $112.20 | $446.68 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $123.03 | $194.98 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $81.28 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $64.57 Typical High $281.84 | Professional | TC · Technical part | $36.31 | $64.57 | $281.84 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $371.54 | Professional | None (both parts) | $112.20 | $134.90 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $70.79 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $51.29 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $83.18 | Professional | TC · Technical part | $21.88 | $37.15 | $83.18 |
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 $46.77 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $46.77 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $21.38 | Professional | 53 · Discontinued | $18.62 | $19.95 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Where Connecticut sits
The same service costs 5.2 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· 18th of 51
$135
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.