How much rates vary
Facilitymedian $501 · 10th to 90th $186 to $794Professionalmedian $513 · 10th to 90th $363 to $794
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 $407.38 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $407.38 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $281.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $125.89 | $162.18 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $537.03 Typical High $794.33 | Facility | None | $147.91 | $537.03 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $371.54 | $512.86 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $331.13 Typical High $457.09 | Professional | 26 · Professional part | $239.88 | $331.13 | $457.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $173.78 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $426.58 Typical High $812.83 | Facility | None | $199.53 | $426.58 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $426.58 Typical High $794.33 | Professional | None (both parts) | $346.74 | $426.58 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $309.03 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $309.03 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $63.10 | $131.83 | $275.42 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $354.81 | $389.05 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $363.08 | $524.81 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $389.05 Typical High $616.60 | Professional | 26 · Professional part | $251.19 | $389.05 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $114.82 | $186.21 | $302.00 |
4 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 $204.17 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $204.17 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $81.28 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $354.81 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $281.84 | $354.81 | $354.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | FX · Film X-ray | $371.54 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 16th of 51
$513
AK $1,585AL $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.