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 $5.75 Median $8.32 Typical High $8.51 | Professional | None (both parts) | $5.75 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $3.09 Typical High $3.16 | Professional | 26 · Professional part | $2.24 | $3.09 | $3.16 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $5.25 Typical High $5.37 | Professional | TC · Technical part | $3.47 | $5.25 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $77.62 Typical High $158.49 | Facility | None | $9.12 | $77.62 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6.03 Median $9.33 Typical High $13.49 | Professional | None (both parts) | $6.03 | $9.33 | $13.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.57 Median $3.24 Typical High $4.37 | Professional | 26 · Professional part | $2.57 | $3.24 | $4.37 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.68 Median $7.24 Typical High $9.33 | Professional | TC · Technical part | $4.68 | $7.24 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $22.39 Typical High $147.91 | Facility | None | $10.00 | $22.39 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $38.90 Typical High $44.67 | Professional | None (both parts) | $9.77 | $38.90 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.55 Typical High $5.37 | Professional | 26 · Professional part | $3.24 | $3.55 | $5.37 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $38.02 Typical High $41.69 | Professional | TC · Technical part | $6.46 | $38.02 | $41.69 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $9.33 Median $12.02 Typical High $33.88 | Professional | None (both parts) | $9.33 | $12.02 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $6.31 Median $12.02 Typical High $30.90 | Professional | None (both parts) | $6.31 | $12.02 | $30.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.40 Median $3.63 Typical High $6.61 | Professional | 26 · Professional part | $2.40 | $3.63 | $6.61 |
United Setting Professional Modifier TC · Technical part Typical Low $3.89 Median $7.41 Typical High $12.30 | Professional | TC · Technical part | $3.89 | $7.41 | $12.30 |
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 $2.88 Median $4.17 Typical High $4.17 | Professional | 52 · Reduced service | $2.88 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.66 Typical High $1.66 | Professional | 53 · Discontinued | $1.12 | $1.66 | $1.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.57 Median $6.61 Typical High $6.61 | Professional | FX · Film X-ray | $4.57 | $6.61 | $6.61 |
Where Connecticut sits
The same service costs 4.2 times more in Kansas 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· 29th of 51
$10.23
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.