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 $169.82 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $169.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $33.11 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $154.88 | $251.19 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $338.84 | Facility | None | $144.54 | $239.88 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $223.87 | $316.23 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $39.81 | $56.23 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $190.55 | $295.12 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $588.84 | Facility | None | $131.83 | $223.87 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $123.03 | $128.82 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $50.12 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $77.62 | $112.20 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $102.33 | $120.23 | $162.18 |
ConnectiCare Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $63.10 | Professional | 26 · Professional part | $39.81 | $50.12 | $63.10 |
ConnectiCare Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $354.81 | Professional | TC · Technical part | $63.10 | $81.28 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $102.33 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $42.66 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $245.47 | $467.74 |
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 $85.11 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $53.70 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | FX · Film X-ray | $162.18 | $213.80 | $213.80 |
Where Connecticut sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 10th of 51
$269
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.